Evisceration Procedure

What is Evisceration Procedure and why is it performed?

It is a surgical process where the content of the eye is removed while the outer scleral shell and the surrounding orbital tissues remain intact. Similar to Enucleation but preserving the outer structure of the eye, this surgery is known as evisceration. It is usually advised for patients with diseases like severe infections, irreparable eye trauma, or a blind, painful eye that will not respond to management otherwise. Founded in 2021, Tender Palm Eye Hospital was built on the values of patient centricity and transparency in all business practices.

Who are better evisceration candidates?

Evisceration is appropriate for patients who:-

Having a blind eye that causes chronic pain.
Have Endophthalmitis (serious infection in the eye).
Severely traumatized eye and anophthalmic.
Our skilled ophthalmology specialists perform comprehensive assessments to decide whether evisceration is the best treatment option.

What is the process of evisceration?

The procedure is done under local or general anesthesia to provide comfort to the patient. The steps involved include:-

Incision– A small incision is made on the scleral shell to reach the inside of the eye.
Contents Removal — Internal eye structures, such as the cornea, are removed leaving the scleral shell and extra ocular muscles.
Orbital Implant Placement – A prosthetic orbital implant is placed within the scleral shell to provide structural support and maintain the natural contour of the eye. The implant is usually made of biocompatible materials that integrate with surrounding tissues.
Closure – The incision is closed using sutures, and a temporary conformer is placed to aid in healing and preparation for a cosmetic prosthesis.

How long does the surgery take?

Evisceration typically takes 1–2 hours, depending on the complexity of the case. Patients are monitored closely during and after the procedure to ensure safety.

Is the procedure painful?

Patients do not experience pain during the procedure due to anesthesia. Postoperative discomfort is common but manageable with prescribed medications.

What are the potential risks of evisceration?

Evisceration is generally safe when performed by skilled surgeons, but like any surgical procedure, it carries some risks:-

Infection – Rare but manageable with proper postoperative care.
Bleeding – Minimal bleeding is expected, but significant bleeding is uncommon.
Implant Complications – Issues like implant extrusion or displacement are rare but may require additional intervention.
Scarring – Mild scarring may occur but is typically not noticeable once the cosmetic prosthesis is in place.

What are the benefits of evisceration?

The procedure offers several significant advantages:-

Pain Relief – Eliminates chronic pain associated with a diseased or damaged eye.
Improved Aesthetics – Prepares the eye socket for a customized prosthesis, restoring a natural appearance.
Enhanced Quality of Life – Resolves discomfort and allows patients to move forward with confidence.

At Tender Palm Eye Hospital, our advanced techniques and attention to detail minimize risks and maximize the benefits of evisceration.

What is the recovery process like after evisceration?

Recovery from evisceration is generally straightforward, with most patients experiencing minimal complications. Key aspects include:-

Postoperative Care – Patients are prescribed antibiotics and anti-inflammatory medications to prevent infection and reduce swelling.
Follow-Up Appointments – Regular visits are necessary to monitor healing and ensure the implant remains well-positioned.
Temporary Conformer – A conformer is placed during surgery to maintain the shape of the eye socket and prevent contraction.

When can a cosmetic prosthesis be fitted?

A customized prosthetic eye is typically fitted 6–8 weeks after surgery, once the healing process is complete. The prosthesis matches the appearance of the natural eye, providing excellent cosmetic results.

How soon can patients return to normal activities?

Most patients can resume light activities within a week, but strenuous activities should be avoided for at least 4–6 weeks or until cleared by the surgeon.

What is the long-term outlook after evisceration?

Patients who undergo evisceration typically enjoy a high quality of life, especially with a well-fitted prosthesis. The procedure provides lasting pain relief and restores a natural appearance.

Are there any long-term precautions?

To maintain the health of the eye socket and surrounding tissues, patients should:-

Clean the prosthesis regularly as instructed by their ocularist.
Attend routine check-ups to monitor the implant and eye socket.
Protect the remaining functional eye with safety glasses during high-risk activities.

Why Choose Tender Palm Eye Hospital for Evisceration Procedure in Lucknow, India?

Tender Palm Eye Hospital is a trusted provider of advanced eye care services, including evisceration. Our team of experienced ophthalmologists ensures that every patient receives individualized attention and care. From preoperative counseling to postoperative support, we are dedicated to helping you achieve the best possible outcomes.

In addition to surgical expertise, we offer comprehensive prosthetic fitting services to restore aesthetics and confidence. Our commitment to compassionate care makes us a preferred choice for patients facing challenging eye conditions. If you or a loved one requires evisceration, schedule a consultation with our specialists today. At Tender Palm Eye Hospital, we are here to support you every step of the way.