Abstract
Evisceration is defined as the removal of the intraocular contents while leaving the sclera intact. It has theoretical advantages over enucleation, including better motility and less volume loss owing to leaving the extraocular muscle scleral attachments intact and not disrupting the deep orbital tissues. However, there are also potential disadvantages including a small risk of sympathetic ophthalmia due to exposure of uveal tissue to the circulation and the possible inadvertent spread of an undiagnosed intraocular neoplasm such as a small uveal melanoma. Controversies regarding this surgery include the timing and type of orbital implant placement. This chapter covers these topics as well as describes the surgical technique of evisceration.