Our
approach to patients who may require enucleation
(complete removal of the eye) is to carefully evaluate
the patient’s condition and approach the situation with
sensitivity and understanding.
Our patients (in many
instances) are experiencing pain in the involved eye
that is no longer responding to medication. The eye
problems may have developed because of past eye trauma
or glaucoma with blindness.
Less commonly, it could be
congenital in origin. In some instances eyelid
abnormalities associated with the blind may be very
significant.
The decision for enucleation is difficult for the
patient and family.
Our physicians discuss surgical
indications and considerations with them while
addressing their concerns regarding the decision to have
this surgery and to describe the procedure that is
advisable.
Enucleation
techniques will include the attachment of the eye
muscles to the implant sphere. The muscles are
structurally left intact in the great majority of
cases. Their attachment to the sphere stabilizes the
implant position and fosters some movement of the socket
and ultimately the prosthesis. Appropriately sized
hydroxyapatite or medpore sphere implants are primarily
used. The function of the implant is to replace the
lost volume that occurs following enucleation. Approximately five weeks after the eye is removed,
prosthesis fitting begins and is completed by the
ocularist (non-surgical).
Visit our
ophthalmology /
eye plastic surgery offices in
New York,
Rye Brook and Bronx, NY.
