A number of eye diseases have serious consequences and complications. This can be various injuries or serious injuries that require surgical intervention. In such cases, surgeons conduct eye eversion. Let's take a closer look at what the operation is about and what it is.
Content
- 1Method definition
- 2Application area
- 3Kinds
-
4Procedure
- 4.1Preparation of the patient
- 4.2Procedure
- 4.3Rehabilitation period
- 5results
- 6Advice to patients
- 7Video
- 8conclusions
Method definition
Evisceration of the eye is the removal of the contents of the eyeball.The fibrous shell remains in place. As a rule, it is used for the movable part of the prosthesis. Trauma and risks after surgery are very low. In the end, the visual organ is completely atrophied.
Evisceration is the removal of the contents of the eye, after the procedure, as a rule, put the prosthesis.
Application area
This operation along with enucleation is carried out in extreme cases.They can be corrupted and extremely difficult complications. The most important cases of the appointment of this operation are:
- Injuries that led to the complete destruction of the eye.
- Glaucoma, accompanied by constant severe pain in the eyes and head.
- Pus.
- Malignant formation in the eye.
- Greater likelihood of developing sympathetic ophthalmia.
- The presence of such ailments, as subatrophy and atrophy of the visual organ.
- Prolonged inflammatory processes in the tissues of the blind eye.
- Carrying out the operation for cosmetic purposes.
Evisceration is carried out mainly in severe diseases and in severe cases.
Kinds
Removal of the eyeball can have different types. All of them are carried out depending on the severity of the disease and its complications. So, three types are distinguished:
- Evisceration.Not complete removal of the internal structure of the eyeball.
- Enucleation. Complete removal of the eyeball.
- Exeteration. Absolute seizures of the eye along with all its soft tissues.
Only the ophthalmologist will appoint the necessary method. It all depends on the age of the patient and the disease.
Each of the 3 types of eye removal is characterized by the degree of surgical intervention.
Procedure
The eversion is divided into three main stages.Each of them is under the close supervision of a doctor.
Preparation of the patient
Before the operation, the patient is given a general anesthesia. A solution of novocaine in each of the 4 corners of the orbit under the skin in the orbit itself. Then the surgeon waits for the beginning of the action of the anesthetic.
Procedure
Cut the conjunctiva along the limb, then it is cut from the sclera.Depth of incision does not exceed 1cm. Linear knife sticks into the sclera, leaving the limb no more than 2 mm. Puncture from the opposite place. The surgeon then makes an incision up the sclera.The tweezers he grasps the upper part of the cornea, and with special scissors around the circle cuts the lower half.Now remove the contents with a flat spoon.
Rehabilitation period
After the operation, the patient is under the supervision of a doctor for up to six months.Initially, antimicrobial therapy is carried out, as well as the prevention of inflammatory processes. The essence of the rehabilitation period is that a person eventually has a natural appearance, has adapted to live with one body of vision. If the prosthesis is put, then its installation takes place no more than 5 days after the surgical intervention.
Each stage of evisceration requires careful monitoring by specialists.
results
Evisceration prevents the occurrence of complications of serious diseases. A person with time adapts to live with one eye and a prosthesis. It should be taken into account that the older the patient's age, the more difficult it is to undergo a rehabilitation period. The doctor individually builds a course of treatment and recovery, so often a person gets optimistic results.Common and local antibiotics, a complex of vitamins are often used.
In most cases, this operation helps a person not to exacerbate the quality of life and adapt to live with one eye.
Advice to patients
It takes some time to heal the eye successfully. There are a number of general recommendations that doctors advise:
- Strictly observe all the instructions of the specialist.
- Do not touch the eyes with your hand or with non-sterile objects.
- Bury the discharged drops.
- To exclude physical labor, the more difficult.
- Do not strain your eyes and do not make sharp movements for about a month.
- Do not visit the baths, saunas.
- Eliminate alcohol consumption.
- Use sunglasses, especially in summer.
- Sleep on the side that is opposite to the eye on which the operation was performed.
Recommendations will help the patient avoid negative consequences and complications.
Video
conclusions
Eye eversion is sometimes necessary. Modern medicine can save a person from most diseases, but sometimes such measures are necessary. This operation has small risks and following all the measures prescribed by the doctor, the chance of complications is approaching zero.
Also read about the operation to replace the lens.