Steps in exenteration surgery. a. Skin is incised around the eyelids and all visible tumor. b. The incision is extended through periosteum around the orbital rim. c. A periosteal elevator is used to separate periorbita from the bony socket. d. The eye and all orbital contents are cut at the orbital apex and removed. e. The orbital socket following removal of all soft tissues. f. A split-thickness skin graft lines the exenterated socket. g. The socket and skin graft are splinted with Telfa and cotton balls soaked in antibiotic solution. h. The healed socket.