Evisceration and enucleation are delicate procedures that result in psychological trauma and physical disability. The preparation is as important as the surgery itself to assure that the patient will return to a productive life. The procedure must be performed in a way to provide the best conditions for a perfect prosthesis, which should look similar to the fellow eye, follow its movements, be comfortable and aesthetically pleasing. Indications and contra-indications, surgical techniques, pre- and post-operative care and complications are discussed in this paper.
The improvement of severe dry-eye cases detected after the transplantation of labial salivary glands is significant. It demonstrates that the lubricant ocular surface produced by the salivary secretion is efficient and well-tolerated. The follow-up shows that the result persists in the long term from which it is concluded that the production of the secretion is permanent. The surgical technique of transplanting the labial salivary gland to the conjunctival fornix is very simple and easily accessible to any ophthalmic surgeon.
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