What potential complications or sequelae can arise after undergoing eyeball removal surgery?
Complications after eyeball removal surgery encompass oculocardiac reflex, anesthetic allergy, and postoperative bleeding, such as retrobulbar hemorrhage and orbital hemorrhage, along with infection. The absence of the eyeball and depression of the upper orbital rim may also manifest. Despite being relatively straightforward in ophthalmic surgeries, eyeball removal is a destructive procedure that can inflict emotional distress on patients. The removal alters the appearance of the affected eye and, crucially, imposes significant psychological burdens, potentially leading to feelings of inferiority or psychological issues.
Frequent complications and mishaps following eyeball removal involve oculocardiac reflex, anesthetic allergy, postoperative bleeding (retrobulbar hemorrhage, orbital hemorrhage, and infection), as well as the absence of the eyeball and upper orbital rim depression. Orbital depression after eyeball removal occurs frequently, often accompanied by orbital fat atrophy.
The latest approach to eyeball removal involves simultaneous implantation of an artificial eye socket, significantly enhancing the patient's appearance by ensuring both eyes appear equally full. Wearing an artificial eye prosthesis post-surgery effectively addresses issues of asymmetry.
Indications for Eyeball Removal Surgery:
- Penetrating eyeball injury with embedded pigmented membrane, recurrent inflammation, and a risk of early sympathetic ophthalmia.
- Absolute glaucoma with uncontrollable intraocular pressure and unrelieved pain.
- Malignant intraocular tumor.
- Severe eyeball atrophy.
- Severe eyeball rupture with total vision loss and no prospect of recovery.
- Corneoscleral staphyloma.
- Complete vision loss that impairs appearance, with the patient insisting on eyeball removal.
