title: Evisceration with scleral modification.
abstract: OBJECTIVE
  To describe an evisceration technique that combines scleral modification with optic nerve release for coverage of any sized orbital implant.
  
  
  METHODS
  The medical records of 70 patients who underwent the described evisceration procedure were reviewed.
  
  
  RESULTS
  The average implant was 20 mm in diameter, with 50 patients (71%) receiving a solid polymethylmethacrylate sphere. Fifty-eight patients (83%) had a history of at least one previous ocular surgery, and 12 patients (17%) had phthisical eyes preoperatively with moderate to severe scleral cicatrization. Postoperatively, there were two cases of new or worsened ptosis, no cases of worsened motility, and no cases of implant extrusion.
  
  
  CONCLUSIONS
  Evisceration with scleral modification is a simple and effective procedure that allows placement of any size orbital implant. Surgical results are excellent with few complications.
authors.affiliation: Sinskey Eye Institute, Santa Monica, California 90404, USA.
authors.forename: G G
authors.initials: GG
authors.lastname: Massry
authors.forename: J B
authors.initials: JB
authors.lastname: Holds
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017233:Orbit Evisceration / Q000379:methods*; D020273:Orbital Implants; D019904:Polymethyl Methacrylate; D019919:Prosthesis Implantation / Q000295:instrumentation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*
chemical_list: D001672:Biocompatible Materials; D019904:Polymethyl Methacrylate