title: Four-petal evisceration: a new technique.
abstract: OBJECTIVE
  To describe a new evisceration technique that allows the use of large orbital implants and closure without tension on the wound.
  
  
  METHODS
  Interventional prospective study. The technique involves quadrisectioning the sclera and placement of a large orbital implant. The sclera is sutured in 2 layers covering the implant.
  
  
  RESULTS
  A total of 73 eyes underwent surgery. The implants were 22 mm in 11 eyes (15%), 20 mm in 60 eyes (82.2%), and 18 mm in 2 eyes (2.8%). Thirty-one eyes (42%) were phthisical with small scleral cavities. There was 1 case of postoperative mild superior sulcus deficiency and no cases of extrusion of the implant.
  
  
  CONCLUSIONS
  The 4-petal evisceration is technically easy to perform and provides excellent results with few complications. It allows the use of orbital implants of any desired size.
authors: Ophthalmology Service, Hospital Ramon y Cajal, Madrid, Spain. salessanz@yahoo.es
authors: Marco
authors: M
authors: Sales-Sanz
authors: Andrea
authors: A
authors: Sanz-Lopez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005128:Eye Diseases / Q000601:surgery; D017234:Eye Evisceration / Q000379:methods*; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D011446:Prospective Studies; D019919:Prosthesis Implantation; D012590:Sclera / Q000601:surgery*