The Anophthalmic Orbit

Trauma is the main cause of physical loss of an eye by evisceration or enucleation of the globe. Immediate or early removal of an eye may be required, or removal of the globe may be undertaken as a secondary procedure. From a cosmetic viewpoint, the aim of reconstructive surgery is to create a healthy cavity within the orbit to support an implant or external prosthesis and to minimise any asymmetry with the opposite eye, using a pain-free implant/prosthesis. Choice of implant depends mostly on the surgeon’s preferences and its cost. These are discussed.