Anophthalmia - The Expert's Guide to Medical and Surgical Management

Oct 21, 2026

Anophthalmia: The Expert’s Guide to Medical and Surgical Management presents a comprehensive approach for end-stage ocular conditions when vision is lost and last-resort procedures become necessary. It covers medical and surgical management beyond routine eye removal, including tertiary care topics such as congenital anophthalmia, socket expansion, osseointegration, implant exchange, and corneal tattooing. The guidance highlights the critical surgeon-ocularist partnership to achieve functional and aesthetic outcomes, and discusses key clinical controversies such as evisceration versus enucleation and postoperative reconstruction preferences.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages301

Reading Time12 h 39 min

AccessFree to download

Foreword

End-stage ophthalmology and last-resort procedures

Scope of management and surgeon-ocularist partnership

Controversies and reconstruction considerations

Preface

Functional disability and cosmetic deformity

Anophthalmia The Expert’s Guide to Medical and Surgical Management Thomas E. Johnson Editor 1 3 Anophthalmia Portrait of a Flautist with One Eye, 1566, Anonymous Artist, Louvre Museum, Paris Thomas E. Johnson Editor Anophthalmia The Expert’s Guide to Medical and Surgical Management Editor Thomas E. Johnson Bascom Palmer Eye Institute University of Miami Miller School of Medicine Miami, FL USA ISBN 978-3-030-29752-7 ISBN 978-3-030-29753-4 (eBook) [https://doi.org/10.1007/978-3-030-29753-4](https://doi.org/10.1007/978-3-030-29753-4) © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Dedicated to my daughter Olivia whose intellectual curiosity, passion for life, and empathy for others inspires me every day. Also dedicated to the rest of my wonderful family including my mom Anna, sister Janan, brother Lant, Maria, Dayra, and to the memory of my dad Arthur. Foreword End-stage ophthalmology: That is the title slide for the lecture I have presented for many years on the topics of evisceration, enucleation, and exenteration – operations of last resort when ocular disease has overwhelmed our abilities to salvage an eye. Unfortunately, unlike end-stage renal disease or end-stage cardiac disease, ophthalmologists do not have a biological alternative, such as a kidney or heart transplant, to restore useful function when vision has been lost or a sick eye has become a liability or even a threat to life. In Anophthalmia: The Expert’s Guide to Medical and Surgical Management, Dr. Thomas Johnson and his collaborators present a comprehensive approach to managing these always discouraging scenarios. The scope of the book goes considerably beyond the wherefores and standard techniques for removing a diseased eye, including detailed coverage of tertiary care such as congenital anophthalmia, socket expansion, osseointegration, implant exchange, and corneal tattooing. The authors also emphasize the critical partnership between the surgeon and the ocularist, whose skill and artistry are fundamental to a satisfactory functional and aesthetic outcome. Readers should be interested to learn how the expertise of ocularists can be traced to doll-making and dentistry. As with any area of medicine, ambiguities and controversies remain, such as whether to perform an evisceration or an enucleation in certain circumstances to minimize the risk of sympathetic ophthalmia. After a detailed, balanced review in Chapters 1 and 3 of publications dating back more than two centuries, the authors of Chapter 3 “generally favor enucleation.” Personally, I generally favor

FAQs

What situations does the book focus on for anophthalmia management?

It focuses on end-stage ocular scenarios where ocular disease has overwhelmed the ability to salvage an eye and vision has been lost. In these situations, last-resort procedures such as evisceration, enucleation, and exenteration are discussed.

Which tertiary care topics are included beyond standard removal techniques?

The book extends beyond routine removal to cover congenital anophthalmia, socket expansion, osseointegration, implant exchange, and corneal tattooing.

What controversies does the foreword highlight regarding procedure choice?

It notes ongoing ambiguities about whether to perform evisceration or enucleation to minimize the risk of sympathetic ophthalmia. It also mentions differing preferences for lining exenterated sockets with split-thickness skin grafts versus second-intention healing.

Oct 21, 2026

Uploaded by Jordan Avery