The operation of enucleation of the eyeball when performed for the relief of intractable pain in cases of absolute glaucoma or severe uveitis may elicit greater expressions of appreciation than surgical procedures which restore vision, as in cases of cataract or detachment of the retina. If, in addition, the cosmetic result in the fitting of a satisfactory prosthesis is excellent, then the happiness of the patient is more than doubled. It is possible to accomplish this. The method I have found most reliable with the least period of disability for the patient is that of simple enucleation or enucleation with immediate implantation of a hollow, nonirritating sphere, such as a gold ball, into Tenon's capsule. The newer alloys may later be found to be satisfactory substitutes for the gold. Glass has been used many times, but there is a desire for a permanent implant. I think there is no contraindication
KIRBY DB. ENUCLEATION OF THE EYEBALLPRACTICAL SUGGESTIONS FOR OBTAINING SATISFACTORY COSMETIC RESULTS. Arch Ophthalmol. 1945;34(1):1–6. doi:10.1001/archopht.1945.00890190001001
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