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Enucleation / Evisceration
 


Enucleation is the surgical procedure in which the  eyeball is removed and replaced with an implant. There are several  reasons that an enucleation is performed. It could be removed to  eliminate a malignant tumor that has developed within the eye, to  alleviate uncontrollable pain in a blind eye, or to reduce the risk of  “sympathetic” inflammation of the remaining eye when one eye has been  severely injured and blinded.Evisceration is a procedure identical to enucleation  with an exception in that the sclera (the white part of the eye) is not  removed in the former. In conditions where an intraocular tumor is  suspected and the entire globe (eyeball) needs to be removed, an  evisceration is not recommended. Although many patients who require either enucleation or evisceration  surgery have little to no vision in their eye, it must be made clear  that the enucleation procedure will result in instantaneous, permanent,  and total blindness of that eye. The procedure can be performed under  general anesthesia or local anesthesia with mild sedation. All patients  who undergo this procedure will require an artificial eye (ocular  prosthesis) as a cosmetic substitute for their natural eye. The ocular  prosthesis is made by an ocularist, an artist, who will try to match  the exact color, shape, and texture of the other eye. The prosthesis is  usually made 4 to 6 weeks after the surgery. American Society of Ocularist
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