THE PATIENT having a total orbital exenteration with or without skin grafts to the orbit usually has an extended period of convalescence requiring considerable care of the wound, followed by a permanent cavitary cosmetic defect on one side of the face. A number of modifications of this procedure have been advocated to shorten the period of convalescence and to improve the cosmetic appearance.1-5
The purpose of this report is to describe a technique of orbital exenteration which replaces the orbital defect with methyl methacrylate and utilizes the skin of the lids to close the orbital wound. The technique is applicable only in patients with a primary malignant orbital tumor which is confined to the intraorbital space posterior to the orbital septum and which does not involve the bony wall of the orbit.
The procedure is done under general anesthesia. The eyelashes are trimmed. Two units of blood are
Gass JDM. Technique of Orbital Exenteration Utilizing Methyl Methacrylate Implant. Arch Ophthalmol. 1969;82(6):789-791. doi:10.1001/archopht.1969.00990020781012