Post-enucleation Socket Syndrome

Severe left post-enucleation socket syndrome.

Mild right post-enucleation socket syndrome.
Note the prominent upper lid sulcus.

Always suspect the presence of an arterficial eye if there were significant enophthalmos.

The patient has an enophthalmos with an artificial eye in-situ. The skin crease is high with prosthesis. 
The lower fornix is shallow and the lid is lax (pull on the lid to demonstrate these).

Further examination:

  • get the patient to look in different direction to check that both eyes move simultaneously
  • mention that you like to remove the artificial eye and feel for the presence of any implant.


1. What are the indications of enucleation?

2. What complications can occur following enucleation and how would you manage them?

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