Surgery to remove the eye: Ocular enucleation

What is ocular enucleation?

It is a surgery in which the entire eyeball and a portion of the optic nerve are removed, respecting the extraocular muscles and other external structures.

What are the indications for ocular enucleation?

Malignant Eye Tumors

In cases of eye cancer, such as retinoblastoma or ocular melanoma.

Serious Traumatic Injuries

When the eye has suffered severe damage due to trauma.

Severe Eye Infections

When infections do not respond to treatment and pose a risk to general health.

Uncontrollable Eye Pain

In situations of chronic and uncontrollable pain that does not respond to other treatments.

What type of anesthesia is used to perform ocular enucleation?

General anesthesia is used, for which it is essential to carry out a comprehensive evaluation of the patient. We collaborate closely with various disciplines, such as internal medicine, pediatrics, cardiology, among others depending on the case, to ensure that the patient is suitable for this type of anesthesia.

What is the postoperative care for ocular enucleation?

Pain Control and Medication:

Medications are prescribed to control pain and prevent possible infections.

Control of Inflammation and Bruising:

Cold compresses may be recommended to control swelling and bruising in the surgical area.

Ocular Prosthesis Care (if used):

If an ocular prosthesis has been fitted, detailed instructions on its care, cleaning and handling will be provided. The patient will learn how to safely place and remove the prosthesis.

Activities and Restrictions:

There may be temporary restrictions on weight lifting and vigorous activities.

Regular Medical Follow-up:

It is essential to attend all scheduled follow-up appointments with the ophthalmologist. These appointments will allow you to evaluate healing, make adjustments to the prosthesis if necessary, and address any patient concerns.

How long does the recovery process take after eye enucleation?

During the first few days: After surgery, it is common to experience swelling, discomfort, and possibly pain. Bandages will be applied and medications will be given to control pain and prevent infection.

During the first week: The ophthalmologist will follow closely to monitor healing and make adjustments to treatment as necessary.

First month: Most people can return to light daily activities after the first week, but strenuous activities should be avoided.

Following months: Emotional and physical adaptation may take several months. Follow-up appointments will be scheduled to evaluate the fit, make adjustments, and address any patient concerns.

It is important to note that each person is unique and recovery may vary.

Are there alternative treatments to preserve the eye in case of an eye tumor?

Yes, there are alternatives to ocular enucleation in the context of ocular tumors, these depend on the specific medical condition and treatment goals.

Some of the possible alternatives include:

Radiation therapy: For certain types of eye tumors, radiation therapy may be an alternative. It is used to treat the tumor without the need to remove the eye.

Chemotherapy: In cases of eye tumors, especially retinoblastoma in children, chemotherapy can be used to treat the disease and preserve the eye.

Targeted Treatments: Depending on the condition, some targeted treatments, such as laser therapy, cryotherapy, or intraocular injections, may be options to preserve the eye.

It is essential that the choice of treatment is made in consultation with an ocular oncologist, who will evaluate the patient's specific situation and determine the most appropriate option. Each case is unique, and the decision will depend on factors such as the type and stage of the disease, the patient's general health, and her individual preferences.

Eye Cancer Institute

Es la primera clínica especializada en cáncer ocular en México orientada al tratamiento integral de pacientes con afecciones oncológicas del ojo. Descubre más acerca de nuestra historia y quiénes conforman nuestro equipo.

*La información contenida en este documento es únicamente para fines informativos y de enseñanza, no debe tomarse como sustituto de una recomendación individual, consulta o tratamiento médicos. Cada caso es único y contexto diferente, es posible que la información contenida en este blog no aplique concretamente a usted. Favor de contactarnos para mayor información o dudas respecto a este artículo.