Four patients were culture negative. Seven patients received 20-mm volume conical porous polyethylene implants. There was one implant exposure postoperatively in a diabetic patient with P. aeruginosa endophthalmitis. The porous polyethylene spherical implant was then successfully treated with a fascia lata graft and conjunctivoplasty. All the patients were successfully fitted with an ocular prosthesis.
Evisceration is such a procedure that has recently gained more interest and acceptance.
4 Evisceration offers many advantages over enucleation, including improved postoperative fornices and implant motility, easier prosthetic fitting, and generally improved cosmesis. Green et al 6 in 1972 published an article describing four cases of sympathetic ophthalmia after evisceration. This report has given caution to those considering evisceration, leading many to prefer enucleation in blind eyes. In a recent report, Levine et al 4 did not document any cases of sympathetic ophthalmia after evisceration in a large series from two centers. These authors emphasize the efficacy and safety of this procedure in the absence of intraocular tumor.