Painful Blind Eye – Surgical Management Guide

👁 Painful Blind Eye – Surgical Management Guide

A painful blind eye, unlike a painless one, often requires surgical intervention
to relieve the severe, medication-resistant pain.

 

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🧠 Surgical Options

ProcedureDescription

Evisceration	Removes cornea and intraocular contents, spares sclera
Enucleation	Removes the entire eyeball, including extraocular muscles & optic nerve

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✅ Indications vs Contraindications

TypeIndicationsContraindications

Enucleation	Intraocular tumors, phthisis bulbi	Severe conjunctival scarring
Evisceration	Alkali burns, faster recovery	Suspected intraocular tumor

⚠ Past concerns (e.g., endophthalmitis, sympathetic ophthalmia)
are now manageable with modern antibiotics & steroids