PURPOSE: To describe a new evisceration technique that allows the use of large orbital implants and closure without tension on the wound. METHODS: Interventional prospective study. The technique involves quadrisectioning the sclera and placement of a large orbital implant. The sclera is sutured in 2 layers covering the implant. RESULTS: A total of 73 eyes underwent surgery. The implants were 22 mm in 11 eyes (15%), 20 mm in 60 eyes (82.2%), and 18 mm in 2 eyes (2.8%). Thirty-one eyes (42%) were phthisical with small scleral cavities. There was 1 case of postoperative mild superior sulcus deficiency and no cases of extrusion of the implant. CONCLUSIONS: The 4-petal evisceration is technically easy to perform and provides excellent results with few complications. It allows the use of orbital implants of any desired size.
PURPOSE: To describe a new evisceration technique that allows the use of large orbital implants and closure without tension on the wound. METHODS: Interventional prospective study. The technique involves quadrisectioning the sclera and placement of a large orbital implant. The sclera is sutured in 2 layers covering the implant. RESULTS: A total of 73 eyes underwent surgery. The implants were 22 mm in 11 eyes (15%), 20 mm in 60 eyes (82.2%), and 18 mm in 2 eyes (2.8%). Thirty-one eyes (42%) were phthisical with small scleral cavities. There was 1 case of postoperative mild superior sulcus deficiency and no cases of extrusion of the implant. CONCLUSIONS: The 4-petal evisceration is technically easy to perform and provides excellent results with few complications. It allows the use of orbital implants of any desired size.