ENUCLEATION INTRA OPERATIVE
1) A transpalpebral incision, starting ventrally, was made around the orbit, taking care to leave as much tissue as possible (adequate margins should be taken from diseased or neoplastic tissue). The incision is generally 1cm from the margin of the eyelid.
2) Blunt dissection was used around the orbit down to the caudal aspect, while avaoiding entrance through the palpebral conjunctiva (if the reason for the enucleation is not neoplasia then some retrobulbar tissue can be left).
3) When the optic stalk and blood supply were reached, the stalk was clamped used a hemostat. The stalk was then severed distally.
4) A large dead space was left following enucleation. The skin incision was closed with synthetic non absorbale suture material in a simple interrupted pattern. The sutures can be removed 2-3 weeks later.