Chapter 6: Orbital Implants After Enucleation and Evisceration Check Access

A severe infection, complicated injury, intraocular malignancy, or a blind painful eye may require removal of the eye, either by evisceration or enucleation. An orbital implant is placed in the anophthalmic socket to replace the volume of the globe and thereby reduce the volume of the artificial painted eye (ocular prosthesis) required. The development of implants has progressed from elemental non-porous polymeric spheres to more complex devices with improved clinical results over the past few decades. Orbital implants still carry the risks of exposure, migration, extrusion, and infection. Developments in biomaterials have resulted in improved outcomes in the management of patients requiring orbital implants. The purpose of this chapter is to discuss the factors to consider when selecting orbital implants after enucleation and evisceration. It also provides an overview, including the management of implant-related complications