Abstract Listings 2024 – European Society of Ophthalmic Plastic and Reconstructive Surgery

Evisceration and Enucleation: Indication and postoperative care

Author: Marco Gabriello
Base Hospital / Institution: Universitätsklinikum Düsseldorf

ePoster presentation

Abstract ID: 24-286

Purpose

To analyze the epidemiological profiles, the outcome, as well as symptoms and signs of dry anophthalmic socket syndrome after evisceration and enucleation in a retrospective clinical cohort at the Ophthalmology Department of the University of Düsseldorf.

Methods

117 patients operated between 2012 to 2023 were evaluated. Age, visual acuity (VA) before operation, indication for surgery, size of implant, complications during surgery, patient satisfaction were extracted retrospectively. Postoperatively subjective patient satisfaction with the aesthetic result and motility of the prothesis as well as the Ocular Surface Disease Index (OSDI) and Schirmer test I were assessed at least 3 months after prothesis fitting.

Results

In total, 34 enucleations (ENU) and 83 eviscerations were included. In the enucleation group 50% were male and 50% were female with a mean age of 64.1217.5 years. In the evisceration group 45.8% were male and 54.3% were female with a mean age of 69.6 18.1 years. The main indication for enucleation was intraocular neoplasia (26.4%), while corneal perforation was the main indication for evisceration (39.8%). VA in the enucleation group ranged between no light perception and 0.3 (in patients with intraocular neoplasia) and in the evisceration group between light perception and counting fingers. In both groups a silicon implant was placed in the socket (enucleation implant mean size: 20.41,7mm; 9 enucleated patients received a primary dermofett implant; evisceration implant mean size: 19.81,6mm). Overall, aesthetic results and prothesis motility appear to be more satisfying in eviscerations than enucleations. Results of OSDI and Schirmer test are currently analyzed

Conclusion

While enucleation and evisceration can both result in psychological trauma and physical disability, in our cohort evisceration resulted in a more satisfying aesthetic result with a better motility of the prosthesis. Symptoms and signs of dry anophthalmic socket are at the moment under evaluation.