Steps in the evisceration of a painful blind eye with a recurrent corneal ulcer, retinal vein occlusion, rubeotic glaucoma and, later, hypopyon:
- The eye with corneal ulcer and hypopyon.
- Following peribulbar anaesthesia, the evisceration begins with 360 degrees of periotomy.
- The next step is the removal of the corneal button. The cornea is cut with the corneal scissors.
- The uveal content is removed with a evisceration spoon.
- After removal of the ocular content, the sclera is cleaned with absolute alcohol to destroy any uveal tissue.
- The volume of the globe is replaced with a silicone ball. The insertion is facilitated by cutting the sclera radially.
- After the insertion of the silicone ball. The sclera is closed with 5/0 virryl. The conjunctiva is closed with 6/0 vicryl.
- After suturing the sclera and the conjunctiva, a conformer is inserted to prevent contracture of the conjunctiva.