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    Evisceration by Equatorial Sclerotomy Technique

    AAO 2020 Video Program
    Oculoplastics/Orbit, Orbital Trauma & Reconstruction

    To discuss various techniques and principles of evisceration to restore volume and to prevent enophthalmos with emphasis on evisceration by equatorial sclerotomy technique. In this video, we demonstrate evisceration in a 39-year-old male with a painful blind eye following trauma. We use the novel circumferential complete equatorial relaxing incision technique in this patient to allow a larger implant with anterior placement and thus preservation of orbital volume. It is a simple procedure that allows the placement of a stable and an optimally sized implant following evisceration in the setting of atrophic bulbi or phthisis bulbi.