Type of Surgery
Information

Last updated: 02/17/2009
Because the eye is surrounded by bones, it is much easier for patients to tolerate enucleation than the loss of a lung or kidney. When surgery is performed under general anesthesia, patients do not feel or see anything until they regain consciousness....
Additional local anesthesia is often given at the end of the surgery so that the patient will have the least pain possible when waking up in the recovery room. Most patients have a headache for 24–36 hours after surgery that is relieved with two regular headache medication pills, such as Tylenol, every four hours. A firm pressure dressing is maintained for four to six days, such oral antibiotics are given for one week; and steroids, as prednisone, adjusted according to patient status, are given three times daily for four days. The socket is evaluated after removal of the pressure dressing. If the edema has disappeared, the sutures are removed. Topical antibiotics are applied four times daily for four weeks.
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Enucleation is removal of the eye, leaving the eye muscles and remaining orbital contents intact. This type of ocular surgery is indicated for a number of different ocular tumors, in eyes that have suffered severe trauma, and in eyes that are blind and painful due to other disease.
Auto-enucleation or oedipism and other forms of serious self inflicted eye injury are an extremely rare form of severe self-harm which usually results from serious mental illnesses such as schizophrenia .
Other Information
Approximately 56% of all patients achieve results of 20/20 or better and over 90% achieve 20/40 or better (which is good enough to drive without corrective lenses in most regions).1 Those with moderate to high myopia (greater than 7 diopters) have a lesser chance of achieving that result. As technique and technology improve, the results continue to improve.
From: Eye Surgery Education Council
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