2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part I: Orbit
Chapter 8: The Anophthalmic Socket
Enucleation is removal of the entire globe and a segment of the optic nerve after releasing the extraocular muscles from sclera.
Evisceration is removal of the ocular contents, leaving the sclera and extraocular muscles intact.
Exenteration is removal of the entire globe and either portions or all of the orbital components.
The goals of anophthalmic socket surgery include maximizing orbital implant volume; achieving optimal eyelid contour, volume, and tone; establishing a socket lining with deep fornices; transmitting motility from the implant to the overlying prosthesis; and achieving comfort and symmetry.
Orbital implants may be inert or biointegrated.
Complications of the anophthalmic socket include superior sulcus defect, conjunctival surface changes, implant exposure, fornix/socket contraction, and eyelid malposition.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.