Modified four incomplete petals evisceration technique: A 14 year case series

PurposeThe aim of this article is to describe the outcomes of a case series using our own variation of the four-petal evisceration technique which may minimize the rate of orbital implant exposure through a simple approach.MethodsOur new technique consists of incompletely dividing the first two scleral flaps, thus creating four incomplete petals that can be sutured over the orbital implant. A case series with a minimum follow-up of 12 months is reported.ResultsOne hundred and twenty-two eyes of 121 patients who underwent evisceration surgery using the described technique are included. No cases of implant exposure or extrusion were observed, and an ocular prosthesis could be adapted in all cases with no complications during a minimum follow-up of 12 months.ConclusionsThe modified "incomplete" four-petal evisceration technique is a safe and accessible technique that may help prevent orbital implant exposure and can be considered a valid alternative in various clinical scenarios.