Evisceration Utilizing an Intrascleral Implant.

A ENEWED interest in evisceration, utilizing an intrascleral implant, has been apparent since the fear of sympathetic ophthalmitis has been largely dispelled by the reports of the results of evisceration in over 200 cases by Ruedemann (1958a, b), 190 cases by Poulard (1936), and 188 cases previously reported by Berens, Carter, and Breakey (1956, 1957). The purpose of this paper is to evaluate more cases after a longer post-operative period and to discuss recent experiences with a steel-mesh covered implant. There appears to be no question that greater motility of the prosthesis is obtained after evisceration. There is less enophthalmos and deepening of the supra-tarsal sulcus than occurs after enucleation.