Indication of intraocular scoop

This is an automatically translated article.

The article was written by Specialist Doctor II Nguyen Thai Hung - Ophthalmologist, Department of Examination & Internal Medicine - Vinmec Da Nang International General Hospital
Intraocular extraction is surgery performed to remove the eyeball, cornea, as well as the tissues inside the eyeball. Intraocular scouring is indicated in cases such as trauma causing rupture of the eyeball and some other eye diseases.

1. What is an intraocular scoop?

Intraocular extraction is surgical removal of all tissues inside the eyeball and cornea, leaving only the conjunctiva, sclera, and tenonium.

2. Indication of intraocular scoop

Intraocular surgery is indicated in the following cases:
Injury to rupture the eyeball and cannot be preserved. Loss of the entire function of the eye, which cannot be preserved. Painful eyes and completely unable to see. Purulent glomerulonephritis. Patients with prosthetic eyes. Sudden bleeding during intraocular surgery. Intraocular scooping is contraindicated in the following cases:
Excessive atrophy of the eyeball. Intraocular tumor patient.

3. Procedure for performing intraocular surgery

The procedure for performing intraocular surgery includes the following steps:
Step 1: Implement regional anesthetic anesthesia for the patient. In some cases it is possible to combine pre-anesthesia. Step 2: Perform conjunctival dissection around the edge to the back. Step 3: Cut the sclera 3mm behind the edge with a knife and scissors. Step 4: Use the pair to fix the edge of the sclera. Step 5: Scoop out the inner eye and scrape the entire choroid out of the sclera. Step 6: Perform burning to stop bleeding of the sclera and optic nerve. Step 7: Suture conjunctiva and sclera. Step 8: Apply antibiotic ointment and antiseptic to the patient, compress the eye. After surgery, it is necessary to disinfect and change the wound dressing daily. Place the mold, 1 week after intraocular surgery, install the prosthetic eye.

4. Complications after intraocular surgery and how to manage

During intraocular surgery: If the patient is bleeding heavily, it is necessary to burn and squeeze to stop the bleeding.
After intraocular surgery: If the patient has a lot of bleeding, a tight bandage should be applied to stop the bleeding. In case of infection, the patient should be treated with local and systemic antibiotics.

5. Evaluation of prosthetic eye after intraocular extraction

After intraocular surgery, patients with prosthetic eyes should be monitored and evaluated as follows:
Good: The prosthetic eye is fitted to resemble the real eye and has similar mobility to the real eye. Moderate: The prosthetic eye is fitted close to the real eye and has limited mobility compared to the real eye. Bad: The patient could not perform prosthetic eyes and had complications such as rejection of implants, cleft palate. Or the prosthetic eye is fitted but does not look like the real eye and moves more difficult than the real eye.

Indications for intraocular scooping in cases such as eye trauma, complete rupture of the eyeball, complete loss of vision function and cannot be treated conservatively.
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