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Enucleation: Removing your child's eyeEEnucleation: Removing your child's eyeEnucleation: Removing your child's eyeEnglishOphthalmologyChild (0-12 years);Teen (13-18 years)EyesNervous systemProceduresCaregivers Adult (19+)NA2014-07-24T04:00:00ZBeverley Griffiths, RN;Brenda Gallie, MD;Elise Heon, MD;Dan DeAngelis, MD6.0000000000000075.00000000000001317.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Enucleation is surgery to remove a damaged or diseased eye. Learn about the surgery and how to care for your child afterwards.</p><p>Enucleation is surgery (an operation) to remove an eyeball.</p> <p>Your child may need an enucleation if, for example:</p> <ul> <li>an <a href="/En/HowTheBodyWorks/Eye/Pages/default.aspx">eye</a> has cancer</li> <li>there is unbearable and uncontrollable pain in an eye that is blind</li> <li>a severely injured eye is causing problems and has no chance of seeing again.</li> </ul> <p>Doctors will only do an enucleation after they have tried everything to save your child's eye and it is the safest option.</p> <p>Before any procedure, it is important to talk honestly with your child about what will happen and to use language that they will understand. Children feel less anxious when they know what to expect.</p><h2>Key points</h2> <ul> <li>Enucleation is surgery to remove a diseased or damaged eyeball.</li> <li>Your child will wear a temporary prosthetic eye for the first six weeks after surgery while the eye socket heals. Then your child will get a custom-fitted eye.</li> <li>You will need to keep your child's eye socket clean and put medicine on it while it is healing.</li> <li>Call the doctor if you see signs that the eye is infected, such as a change in the look or amount of mucus, a bad smell, redness, pain or fever.</li> <li>Your child will need to wear eyeglasses to protect their good eye.</li> </ul><h2>When to see a doctor</h2> <p>Call your child's doctor <strong>right away</strong> if:</p> <ul> <li>the amount of mucus increases</li> <li>the mucus changes to a greenish colour</li> <li>the mucus gets thicker</li> <li>the mucus starts to smell</li> <li>your child's eye is weepy, painful or very red around the eyelids</li> <li>the eyelid becomes more swollen</li> <li>your child has a <a href="/Article?contentid=30&language=English">fever</a>.</li> </ul><h2>What happens during enucleation surgery?</h2><p>The surgery will remove your child's eyeball and replace it with a temporary prosthetic (fake) eye. For the surgery, your child will receive a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This is a mix of medicines that helps your child fall into a deep sleep. Your child will not feel pain or remember the operation.<br></p> <figure class="asset-c-100"> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_enucleation_EN.png" alt="The anatomy of a normal eye and a diagram of an eye after enucleation surgery" /></figure> <p>During the surgery, the surgeon will remove your child's eyeball from their eye socket. The eye socket is the bony area that holds and protects the eyeball. The doctor will be careful to preserve all normal tissue (muscles and nerves) around the eye.</p><p>Next, the doctor puts in an orbital implant. This is a solid "ball" that fills the space left behind by the eyeball. The implant will help your child's custom-fitted eye look more natural.</p><p>You will not see the orbital implant because it is covered by other tissues. The muscles that move the eye will be sutured (stitched) to the implant or to the corner of the eyelids. Attaching the eye muscles to the implant or the corners of the eyelids will help your child's new custom-fitted eye to move a little when it is in place.</p><p>At the end of the surgery, the doctor will put a temporary prosthetic (fake) eye under the eyelid. The fake eye is an oval piece of plastic that has an eye painted on it. It looks like a big contact lens. It helps the eye socket keep its shape and heal properly.</p><p>Your child will wear the temporary prosthetic eye all the time until they are ready to get their custom-fitted eye. This usually happens about six to eight weeks after surgery. This eye will lie just over the tissue that covers the orbital implant.</p><h2>What happens right after enucleation surgery?</h2> <h3>Eye patch</h3> <p>After the surgery, your child will wake up with an eye patch taped tightly over the closed eyelid. This patch is called a pressure patch and helps to keep the swelling down. Your child's other eye will not be covered.</p> <p>Your child might be upset after the surgery because they need to wear the patch. Comfort your child and remind them that they will need the patch for about two days. Your child will likely stay in hospital during this time.</p> <h3>Swelling and bruising</h3> <p>Your child's eye socket will be swollen. The swelling can sometimes spread and cause problems opening the other eye.</p> <p>Your child may be scared if they cannot open their other eye. Comfort and reassure your child. They will be able to open both eyes when the patch comes off.</p> <p>After the patch comes off, your child's eyelids may still be swollen. As a result, your child may not be able to open the eye at first. This is normal and will improve gradually.</p> <p>The area around the eye may be bruised, making it seem that your child has a black eye. Bruising like this can take several weeks to go away, just like any bruise. It is likely to change through several colours.</p> <p>If you are worried, ask the doctor or nurse for support.</p> <h3>Pain</h3> <p>Some children have a little <a href="/pain">pain</a> after the surgery. Other children might not have any pain.</p> <p>If your child complains of a lot of pain, ask your nurse or doctor if they can have something to ease it.</p> <h3>Mucus</h3> <p>Your child may have some mucus draining from the socket where the eye was removed. This may be thick and sticky or runny. The mucus is normal when it is white, slightly pink (blood stained) or yellow. It will stop in a few days.</p>
Énucléation : retrait de l’œil de votre enfantÉÉnucléation : retrait de l’œil de votre enfantEnucleation: Removing your child's eyeFrenchOphthalmologyChild (0-12 years);Teen (13-18 years)EyesNervous systemProceduresCaregivers Adult (19+)NA2014-07-24T04:00:00ZBeverley Griffiths, RN;Brenda Gallie, MD;Elise Heon, MD;Dan DeAngelis, MD6.0000000000000075.00000000000001317.00000000000Health (A-Z) - ProcedureHealth A-Z<p>L’énucléation est une intervention chirurgicale qui consiste à exciser un œil malade ou lésé. Apprenez-en sur la chirurgie et comment prendre soin de votre enfant par la suite.</p><p>Une énucléation est une chirurgie qui vise à retirer un œil.</p><p>Votre enfant peut avoir besoin d'une énucléation si, par exemple :</p><ul><li>son œil est cancéreux</li><li>la douleur dans son œil est insupportable et incontrôlable</li><li>un œil gravement lésé est source de problèmes et il n'y a aucun espoir de recouvrer la vue dans cet œil</li></ul><p>Les médecins ne pratiqueront pas d'énucléation tant qu'ils n'auront pas tout essayé pour sauver l'œil de votre enfant et cela s'avère l'option la plus sûre.</p><p>Avant l'opération, il est important de parler ouvertement avec votre enfant de ce qui va arriver et d'utiliser des termes qu'il pourra comprendre. Les enfants éprouvent moins d'anxiété lorsqu'ils savent à quoi s'attendre.</p><h2>À retenir</h2><ul><li>L'énucléation est une intervention chirurgicale qui consiste à exciser un œil malade ou lésé.</li><li>Votre enfant devra porter la prothèse oculaire temporaire pendant six semaines après l'opération pour laisser guérir l'orbite oculaire. Il pourra par la suite porter un œil ajusté et personnalisé.</li><li>Vous devrez veiller à ce que l'œil de votre enfant soit propre et devrez appliquer les médicaments sur l'œil pendant qu'il guérit.</li><li>Appelez le médecin si vous constatez des signes d'infection de l’œil tels qu'un changement dans l'apparence ou la quantité de mucus, une odeur fétide, des rougeurs, des douleurs ou de la fièvre.</li><li>Votre enfant devra porter des lunettes afin de protéger son œil sain.<br></li></ul><h2>Quand il est temps d’aller consulter un médecin</h2><p>Appelez immédiatement votre médecin si :</p><ul><li>la quantité de mucus augmente</li><li>sa couleur tourne au vert</li><li>il s'épaissit</li><li>il devient malodorant</li><li>l'œil suinte, il est douloureux ou une rougeur très intense est observée près des paupières</li><li>l'enflure de la paupière augmente</li><li>votre enfant est <a href="/Article?contentid=30&language=French">fiévreux</a>.</li></ul><h2>Que se passe-t-il au cours d’une énucléation?</h2><p>L'opération consiste à retirer le globe oculaire de votre enfant et à le remplacer par une prothèse temporaire. L'intervention sera réalisée sous <a href="/Article?contentid=1261&language=French">anesthésie générale</a>. Des médicaments bien dosés permettront à votre enfant d'être en état de sommeil profond. Votre enfant ne ressentira aucune douleur et ne gardera aucun souvenir de l'opération.</p><p>Pendant l'opération, le chirurgien retirera le globe oculaire de l'orbite. L'orbite de l'œil est la région osseuse qui retient et protège le globe oculaire. Le médecin prendra soin de conserver tous les tissus normaux (muscles et nerfs) autour de l'œil.</p><p>Ensuite, il mettra en place l'implant orbital ayant la forme d'une balle qui remplira l'espace qu'occupait le globe oculaire. L'implant fera en sorte que l'œil ajusté et personnalisé aura l'air plus naturel. </p><p>L'implant orbital placé sous d'autres tissus sera invisible. Les muscles qui sont responsables des mouvements de l'œil seront suturés (cousus) à l'implant ou au coin des paupières. Fixer les muscles à l'implant ou au coin des paupières aidera le nouvel œil ajusté et personnalisé de votre enfant à bouger un peu une fois en place.</p><p>À la fin de l'opération, le médecin posera la prothèse oculaire temporaire sous la paupière. La prothèse consiste en une pièce ovale en plastique sur laquelle un œil est peint. Elle ressemble à un gros verre de contact et aide l'orbite oculaire à conserver sa forme et à guérir. </p><p>Votre enfant devra porter la prothèse oculaire temporaire sans interruption jusqu'à ce qu'il soit prêt à porter son œil ajusté et personnalisé. Cela se produit généralement environ six à huit semaines après la chirurgie. L'œil reposera sur le matériel qui couvre l'implant orbital.</p><h2>Que se passe-t-il après l’opération d’énucléation?</h2><h3>Le cache-œil</h3><p>Après la chirurgie, votre enfant se réveillera avec un cache-œil fermement pressé contre sa paupière fermée. Ce pansement appelé un pansement compressif aide à diminuer l'enflure. Son autre œil ne sera pas couvert.</p><p>L'obligation de porter le pansement après l'opération pourrait frustrer votre enfant. Réconfortez-le et rappelez-lui qu'il doit le porter pendant environ deux jours. Il est probable qu'il restera à l'hôpital tout ce temps.</p><h3>L’enflure et la plaie</h3><p>L'orbite oculaire sera enflée. L'enflure peut parfois s'étendre et empêcher l'autre œil de s'ouvrir.</p><p>Votre enfant peut prendre peur s'il s’aperçoit qu'il est incapable d'ouvrir l'autre œil. Réconfortez-le et rassurez-le. Il sera capable d'ouvrir les deux yeux lorsque le pansement sera enlevé.</p><p>Une fois le pansement retiré, il se peut que les paupières soient toujours enflées. Il pourrait donc arriver que votre enfant ne soit pas capable d'ouvrir l'œil du premier coup. C'est normal mais cela s'améliorera avec le temps. </p><p>La région autour de l'œil peut être contusionnée, ce qui peut donner l'impression que votre enfant a un œil au beurre noir. La guérison d'une telle lésion peut prendre des semaines, comme toute autre lésion. Sa couleur pourrait varier.</p><p>Si cela vous préoccupe, parlez-en au médecin ou à l'infirmier.</p><h3>La douleur</h3><p>Certains enfants éprouveront un peu de douleur après la chirurgie. D'autres enfants n'en auront pas. </p><p>Si votre enfant se lamente parce qu'il souffre, demandez à l'infirmier ou au médecin si un médicament peut le soulager.</p><h3>Le mucus</h3><p>Du mucus peut s'écouler de l'orbite de l'œil. Le mucus peut avoir une consistance épaisse et collante ou liquide. Sa couleur est normalement blanche, légèrement rosée (colorée par le sang) ou jaune. L'écoulement cessera quelques jours plus tard.<br></p>

 

 

Enucleation: Removing your child's eye56.0000000000000Enucleation: Removing your child's eyeEnucleation: Removing your child's eyeEEnglishOphthalmologyChild (0-12 years);Teen (13-18 years)EyesNervous systemProceduresCaregivers Adult (19+)NA2014-07-24T04:00:00ZBeverley Griffiths, RN;Brenda Gallie, MD;Elise Heon, MD;Dan DeAngelis, MD6.0000000000000075.00000000000001317.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Enucleation is surgery to remove a damaged or diseased eye. Learn about the surgery and how to care for your child afterwards.</p><p>Enucleation is surgery (an operation) to remove an eyeball.</p> <p>Your child may need an enucleation if, for example:</p> <ul> <li>an <a href="/En/HowTheBodyWorks/Eye/Pages/default.aspx">eye</a> has cancer</li> <li>there is unbearable and uncontrollable pain in an eye that is blind</li> <li>a severely injured eye is causing problems and has no chance of seeing again.</li> </ul> <p>Doctors will only do an enucleation after they have tried everything to save your child's eye and it is the safest option.</p> <p>Before any procedure, it is important to talk honestly with your child about what will happen and to use language that they will understand. Children feel less anxious when they know what to expect.</p><h2>Key points</h2> <ul> <li>Enucleation is surgery to remove a diseased or damaged eyeball.</li> <li>Your child will wear a temporary prosthetic eye for the first six weeks after surgery while the eye socket heals. Then your child will get a custom-fitted eye.</li> <li>You will need to keep your child's eye socket clean and put medicine on it while it is healing.</li> <li>Call the doctor if you see signs that the eye is infected, such as a change in the look or amount of mucus, a bad smell, redness, pain or fever.</li> <li>Your child will need to wear eyeglasses to protect their good eye.</li> </ul><h2>Caring for your child's eye socket</h2> <p>You must take special care of your child's eye socket until it is completely healed. When the socket is healed, it will not need special care.</p> <p>Right after the surgery, your child's eyelids may be sticky and hard to open because of mucus draining from the eye. It is very important that you keep your child's eye socket clean while it is healing. Always wash your hands before and after you touch your child's eye.</p> <h3>Cleaning your child's eye</h3> <ol> <li>Fill a container with warm clean water. Make sure the water is not so hot that it will burn you or your child.</li> <li>Wet a cotton ball, a piece of gauze or a clean face cloth with the warm water.</li> <li>Gently wipe the closed eyelids.</li> </ol> <p>If the eyelids are very sticky, leave the damp cotton ball, gauze or face cloth over the eyes for a short while (up to five minutes). This will help make the mucus softer and easier to remove.</p> <p>It is fine for your child to take a shower or bath as they start healing from surgery, but they should avoid water-based activities such as swimming until the eye is healed and their custom-fitted eye is in place. This usually happens about six weeks after surgery.</p> <h2>Will my child need any medicine after surgery?</h2> <p>Your child will need medicine to help the eye heal and prevent infections. Your child's doctor will order eye drops or eye ointment.</p> <p>You will need to <a href="/Article?contentid=995&language=English">apply the eye drops</a> or <a href="/Article?contentid=996&language=English">ointment</a> for about six to eight weeks while the eye heals.</p> <h2>How long will my child wear the temporary prosthetic eye?</h2> <p>Your child will need to wear the temporary prosthetic eye for about six weeks while the eye socket heals. After this time, your child will get their custom-fitted eye.</p> <h2>Will my child still be able to make tears?</h2> <p>Even though your child has a prosthetic eye, the tear glands will still work. If your child's eye lid has not been damaged, tears will flow normally.</p> <h2>Will my child's other eye need any special protection?</h2> <p>Your child's other eye needs to be protected at all times. Wearing special eyeglasses with shatterproof lenses will protect it.</p> <p>If your child wore eyeglasses before the operation, the lens over their "good" eye will be the strength your child needs to see clearly. Even if your child does not need eyeglasses to see clearly, the doctor will give you a prescription for "neutral" or "powerless" lenses to protect the good eye. Your child's doctor will tell you when your child should wear these eyeglasses.</p><h2>When to see a doctor</h2> <p>Call your child's doctor <strong>right away</strong> if:</p> <ul> <li>the amount of mucus increases</li> <li>the mucus changes to a greenish colour</li> <li>the mucus gets thicker</li> <li>the mucus starts to smell</li> <li>your child's eye is weepy, painful or very red around the eyelids</li> <li>the eyelid becomes more swollen</li> <li>your child has a <a href="/Article?contentid=30&language=English">fever</a>.</li> </ul><h2>What happens during enucleation surgery?</h2><p>The surgery will remove your child's eyeball and replace it with a temporary prosthetic (fake) eye. For the surgery, your child will receive a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This is a mix of medicines that helps your child fall into a deep sleep. Your child will not feel pain or remember the operation.<br></p> <figure class="asset-c-100"> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_enucleation_EN.png" alt="The anatomy of a normal eye and a diagram of an eye after enucleation surgery" /></figure> <p>During the surgery, the surgeon will remove your child's eyeball from their eye socket. The eye socket is the bony area that holds and protects the eyeball. The doctor will be careful to preserve all normal tissue (muscles and nerves) around the eye.</p><p>Next, the doctor puts in an orbital implant. This is a solid "ball" that fills the space left behind by the eyeball. The implant will help your child's custom-fitted eye look more natural.</p><p>You will not see the orbital implant because it is covered by other tissues. The muscles that move the eye will be sutured (stitched) to the implant or to the corner of the eyelids. Attaching the eye muscles to the implant or the corners of the eyelids will help your child's new custom-fitted eye to move a little when it is in place.</p><p>At the end of the surgery, the doctor will put a temporary prosthetic (fake) eye under the eyelid. The fake eye is an oval piece of plastic that has an eye painted on it. It looks like a big contact lens. It helps the eye socket keep its shape and heal properly.</p><p>Your child will wear the temporary prosthetic eye all the time until they are ready to get their custom-fitted eye. This usually happens about six to eight weeks after surgery. This eye will lie just over the tissue that covers the orbital implant.</p><h2>What happens right after enucleation surgery?</h2> <h3>Eye patch</h3> <p>After the surgery, your child will wake up with an eye patch taped tightly over the closed eyelid. This patch is called a pressure patch and helps to keep the swelling down. Your child's other eye will not be covered.</p> <p>Your child might be upset after the surgery because they need to wear the patch. Comfort your child and remind them that they will need the patch for about two days. Your child will likely stay in hospital during this time.</p> <h3>Swelling and bruising</h3> <p>Your child's eye socket will be swollen. The swelling can sometimes spread and cause problems opening the other eye.</p> <p>Your child may be scared if they cannot open their other eye. Comfort and reassure your child. They will be able to open both eyes when the patch comes off.</p> <p>After the patch comes off, your child's eyelids may still be swollen. As a result, your child may not be able to open the eye at first. This is normal and will improve gradually.</p> <p>The area around the eye may be bruised, making it seem that your child has a black eye. Bruising like this can take several weeks to go away, just like any bruise. It is likely to change through several colours.</p> <p>If you are worried, ask the doctor or nurse for support.</p> <h3>Pain</h3> <p>Some children have a little <a href="/pain">pain</a> after the surgery. Other children might not have any pain.</p> <p>If your child complains of a lot of pain, ask your nurse or doctor if they can have something to ease it.</p> <h3>Mucus</h3> <p>Your child may have some mucus draining from the socket where the eye was removed. This may be thick and sticky or runny. The mucus is normal when it is white, slightly pink (blood stained) or yellow. It will stop in a few days.</p>https://assets.aboutkidshealth.ca/akhassets/IMD_enucleation_EN.pngEnucleation: Removing your child's eyeFalse

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