Destructive Surgeries of the Eyeball

Eyeball Destructive Surgeries Indications Painful blind eye (e.g., end-stage glaucoma). Malignant tumors (e.g., retinoblastoma, choroidal melanoma). Severe ocular trauma with no visual potential. Severe infections like endophthalmitis or panophthalmitis. Cosmetic reasons in disfigured, blind eyes. Risk of sympathetic ophthalmia after penetrating injuries. Types of Destructive Surgeries 1. Enucleation Definition: Removal of the entire eyeball, sparing extraocular muscles and orbital contents. Indications: Intraocular malignancies (e.g., retinoblastoma, melanoma). Painful blind eye. Prevention of sympathetic ophthalmia. Complications: Orbital implant extrusion, infection, ptosis. 2. Evisceration Definition: Removal of the contents of the globe while retaining the scleral shell and extraocular muscles. Indications: Endophthalmitis, painful blind eye without malignancy. Contraindication: Suspected intraocular malignancy. Advantages: Better cosmetic result, preservation of orbital volume. Complications: Infect…