title: Evisceration with equatorial sclerotomy for phthisis bulbi and microphthalmos.
abstract: OBJECTIVE
  To describe a new technique for ocular volume augmentation at the time of evisceration in patients with phthisis bulbi and microphthalmos.
  
  
  METHODS
  A retrospective, interventional, noncomparative case series of all patients with phthisis bulbi and microphthalmos who underwent successful evisceration with equatorial sclerotomy. The medical records were reviewed for patient history, surgical method, and postoperative course.
  
  
  RESULTS
  Eighteen patients (16 with phthisis bulbi and 2 with microphthalmos) underwent evisceration with equatorial sclerotomy and placement of an orbital implant of 20 mm in 11 patients (61%), 18 mm in 6 patients (33%) and 16 mm in 1 patient. Complications encountered were implant exposure in one patient, fornix shortening and symblepharon in one patient, and enophthalmos in another.
  
  
  CONCLUSIONS
  Equatorial sclerotomy could be a useful adjuvant technique for placement of a larger orbital implant at the time of evisceration in patients with phthisis bulbi and microphthalmos.
authors.affiliation: Center for Facial Appearances, Salt Lake City, Utah, USA. dan.oculoplastics@gmail.com
authors.forename: Dan
authors.initials: D
authors.lastname: Georgescu
authors.forename: M Reza
authors.initials: MR
authors.lastname: Vagefi
authors.forename: Chun Cheng Lin
authors.initials: CC
authors.lastname: Yang
authors.forename: John
authors.initials: J
authors.lastname: McCann
authors.forename: Richard L
authors.initials: RL
authors.lastname: Anderson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D017886:Durapatite; D005128:Eye Diseases / Q000601:surgery*; D017234:Eye Evisceration / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008850:Microphthalmos / Q000601:surgery*; D008875:Middle Aged; D020273:Orbital Implants; D020959:Polyethylene; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*
chemical_list: D020959:Polyethylene; D017886:Durapatite