In recent years, especially since the rise and fall of the use of open-faced integrated implants, there has been a great increase in the popularity of evisceration as compared to enucleation. At a meeting of the Committee on Ocular Prosthetics, held in connection with the American Academy of Ophthalmology, evisceration was voted the procedure which gave the best postoperative results by about nine to one.
In 1939, Burch4 reported a type of evisceration in which the cornea was preserved. The contents of the eye were removed through a transverse incision over the ciliary body above and an implant inserted. The sclera and conjunctiva above were then closed. The modification reported here places the scleral incision farther back behind the superior rectus insertion, so that when the muscle is reattached it gives extra support for the closure of the wound instead of pulling on the posterior lip of the wound.
HUGHES WL. Evisceration. AMA Arch Ophthalmol. 1960;63(1):36-40. doi:10.1001/archopht.1960.00950020038005