Steps in evisceration surgery. a. Sclera is cut 360 degrees around the surgical limbus. b. The scleral rim attached to cornea is grasped with forceps and the intraocular contents are removed with an evisceration spoon. c. The uveal contents and cornea are prepared to submit to pathology. d. The scleral shell is scrubbed with alcohol to remove residual uvea. e. Relaxing incisions are cut in the sclera. f. A spherical implant is placed into the scleral shell, scleral dog-ears are trimmed, and sclera is closed with simple interrupted 5-0 polyglactin sutures. g. Tenon capsule is closed with a running 5-0 polyglactin suture. Conjunctiva is closed with a running 6-0 plain gut suture. h. A conformer is placed behind the eyelids.