A New Evisceration Technique using Ellman Radiofrequency

Abstract

In this article we describe a new evisceration technique with the use of Ellman radiofrequency (RF) with the Goisis elevator [Patented 4-MHz dual radiosurgical unit, Ellman, NY], a new tool for orbital surgery with whom is possible to cut, coagulate, and dissect with greater precision, lower temperature, and reduced alteration of the tissue. With the Goisis RF Elevator we perform a conjunctiva peritomy, then, with the same device, is possible to get inside the chamber and excise the cornea and, after that, eliminate the globe content. The next step is to isolate and hook the superior and medial rectus muscles so that we can perform a full-thickness quadrant sclerotomy from the limbal incision to the optic nerve. The procedure is repeated in the superolateral, inferolateral, and inferomedial quadrants. In the end we can position a large implant between four scleral flaps previously shaped. This new technique makes the procedure to place a large orbital implant easier and faster. The advantages are both for the operator and the patient: enhanced speed, reduced pain, prompt healing, and lesser swelling.