Surgery Overview

ENUCLEATION

GENERAL INFORMATION
 

  • Periorbital fat and extraocular muscles are retained to enhance the postsurgical cosmetic effect.
  • All enucleated globes should be submitted for histopathologic analysis, unless known trauma is the cause of the enucleation.
  • Postoperative swelling is common but typically resolves within five days.

 
 

MOST COMMON COMPLICATIONS AND DIFFICULTY
 

  • Failure to properly ligate the ocular artery resulting in postoperative bleeding.
  • Do not place tension on the optic nerve, especially in cats. It can cause blindness in the opposite eye.

 
 

 

Perform a lateral canthotomy, then grasp the conjuctiva at the limbus and make a 360° perlimbal incision.  Separate the conjunctiva, tendon's capsule, and extraocular muscles from the sclera, then ligate and secure the optic nerve.

"EXPERTS' ADVICE"
 

  • Complete removal of the lacrimal gland is required so that the defect does not fill up with tears.
  • Suture eyelid margins closed and dissect periconjunctival and periorbital tissue to prevent contamination.

 

ENUCLEATION:
SUTURE AND NEEDLE OPTIONS
  Brand Needle Type Needle Reference
Main Choice Also Possible Main Choice Also Possible
LIGATURES
MONOCRYL*
VICRYL*
Taper Point
SH-1, SH
CT-3
SUBCUTANEOUS
MONOCRYL*
VICRYL* PLUS
PDS* II
VICRYL*
Taper Point
RB-1, SH, CT-2, CT-1
SKIN CLOSURE
ETHILON*
PROLENE*
Silk
Reverse Cut
FS-2, FS-1, FS
FSL, CP-2, CP-1, KS
Blue type indicates Reverse Cut

  Cat/Small Dog
(20 lbs or less)
Medium Dog
(20-45 lbs or less)
Large Dogs
(50 to 75 lbs)
Giant Dog
(75 lbs +)
LIGATURES 3-0 3-0 3-0 3-0
SUBCUTANEOUS 4-0 4-0 or 3-0 3-0 or 2-0 2-0
SKIN CLOSURE 4-0 4-0 or 3-0 or 2-0 3-0 or 2-0 2-0

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