EVISTSERAIIYA GLAZA (evisce-ratio bulbi; lat. eviscerare to take interiors; a synonym an ekzenteration of an eye) — operation of removal of contents of an eyeglobe with preservation of a sclera and the muscles which are attached to it.
The indication to E. serve and-oftaljmit (see) and a panophthalmia (see) when enucleation of an eye is not shown because of danger of purulent complications.
AA. it can be executed under local anesthesia, but the anesthesia is more preferable (see). After a circular perilimbalny section of a conjunctiva it is otseparovyvat from a sclera on an extent to 1 cm; a linear knife cut an upper half of a cornea and a corneal and scleral part. Then finish with scissors cutting off of the lower half of a cornea around, with a strip of a sclera. Between a sclera and a choroid enter a spoon into space (see. Ophthalmologic tools), contents of an eyeglobe are separated from a sclera and taken; carefully scrape out, exsect and clean by means of a gauze tampon of a wall of a scleral cavity. On four meridians make notches of a sclera on
depth of 1 cm that accelerates scarring of a stump. If there is no need for drainage of a wound, put a stitch on a conjunctiva.
Refer inflammatory process to complications of the postoperative period, in the subsequent the possibility of development of a sympathetic ophthalmia is not excluded (see). Prevention of complications consists in performing antiinflammatory therapy using antibiotics and streptocides.
Bibliography: The multivolume guide to eye diseases, under the editorship of V. N. Arkhangelsky, t. 4, page 96, M., 1959; The Management of eye surgery, under the editorship of
V. P. Odintsov and To. X. Orlova, t. 1, page 283, M. — L. 1933; Fox S. A. Ophthalmic plastic surgery, p. 557, N. Y. and. lake, 1976; Green W. R. a. o. Sympathetic uveitis following evisceration, Trans. Amer. Acad. Ophthal. Otolaryng., v. 76, p. 625, 1972. P. A. Gundorova.