REMOVAL AND INTRASCLERAL
eye removal the whole eye is removed along with the eyelid margins.
The cut edges of the eyelids are then sutured closed. Healing takes
about 2 weeks at which time the sutures are removed. Initially the
area is quite swollen but this resolves over the first 2 weeks.
With time the skin can sink into the hole created when the eye is
removed. In short-haired dogs this is quite noticeable, it is less
noticeable with long-haired dogs.
on Tips for removing an eye*
With this procedure, the parts of the eye causing pain (inside the
globe) are removed. A cut is made into the white of the eye (the
sclera), all the contents are removed, and an implant is placed
to fill the void. This implant sits inside the sclera and cornea.
The size of the implant used matches the normal size of the eye,
and enlarged eyes shrink down around the implant. After surgery
a suture is placed in the eyelids to protect the eye whilst healing,
this is usually removed 2-4 weeks after surgery.
Good Eye - You can see the iris and pupil
Both Eyes - A good result!
Prosthetic Eye - no eye structures visible
Inducer and the prosthetic ball
Removal versus Intrascleral Prosthesis
initial healing period is shorter with eye removal - 2 weeks versus
4 weeks with intrascleral prosthesis. Both conditions are mildly
painful postoperatively for a couple of days and analgesics are
given postoperatively. Some prosthesis cases develop ulceration
in the postoperative period - this is usually prevented with the
eyelid suture which is left in place for one month.
long term complication rate of both procedures is very low. With
eye removal there is less than a 1% chance of problems. These include
infections in older animals related to dental disease, and tear
production due to orbital tear-producing glands. Long term complications
of intrascleral prosthesis surgery are also low, however it is still
possible for the eye to develop corneal disease e.g. ulceration,
or dry eye, however these are rare.
to eye removal, intrascleral prosthesis surgery is a less traumatic
surgery - as less tissues are cut into or removed.
prosthesis surgery produces a far more cosmetic result. The prosthesis
usually turns a dark grey to black colour, with some becoming a
more cloudy/blue colour. The eyelids are intact and blink normally.
Most clients are very happy with the result of this surgery, and
many comment that most people cannot tell that the prosthesis is
a false eye.
Cloudy Prosthetic Eyes - Golden (Right), Cocker (Left)
and Chihuahua (Left)
The surgery site must be kept clean of any discharge. Wipe the site
gently with a cotton wool ball moistened with warm tap water. This
may need to be done 2 - 3 times daily. Do not allow discharge to
build up as this can delay healing.
Monitor the eye for any sign of discomfort; squinting, rubbing,
discharge. Dissolving sutures are used, therefore suture removal
is not required other than the eyelid suture.
3. Generally we check the surgical site 10-14 days after surgery.
4. An Elizabethan may be required if "Jessie" scratches at the eye
but this is not common.
The temporary eyelid suture is removed 3-4 weeks after surgery.
Some cases may require a short (2-4 week) course of anti-inflammatory
drops if the cornea becomes reactive with blood vessels. this is
more likely to occur if the eye has been diseased for some time
before the intrascleral prosthesis surgery.