Abstract Microscopic examination of the scleral shell of an eye after evisceration is unusual but has been reported. Waldispühl16 reported a case in 1896, de Schweinitz 15 in 1900, and Oliver 11 in 1900. Burch 5 alluded to the microscopic changes in 1940, indicating that he had also studied the scleral shell. Although others have undoubtedly examined similar specimens, there have been no reports in the recent literature. Report of Case A 49-year-old Negro male was first seen at University Hospital on Sept. 1, 1960, with a chief complaint of pain in the right eye. Past history revealed that he had had glaucoma for 5 years, and had had an evisceration of the right globe with implantation of an 18 mm. plastic ball because of absolute glaucoma in May, 1959. He had also had a sclerectomy with iridectomy in the left eye at the same time.Examination revealed a small References 1. Berens, C., and Breakey, A. S.: Evisceration Utilizing an Intrascleral Implant , Brit. J. Ophthal. 44:665, 1960.Crossref 2. Berens, C.; Carter, G. Z., and Breakey, A. S.: Evisceration: Experience With a Steel-Mesh Capped Hollow Plastic Implant , Trans. Amer. Ophthal. Soc. 54:337, 1956. 3. Blodi, F. C.: Sympathetic Uveitis As an Allergic Phenomenon , Trans. Amer. Acad. Ophthal. Otolaryng. 63:642, 1959. 4. Brobst, C. H.: Sympathetic Ophthalmia Following Mules Operation , Ophthal. Rec. 17:583, 1908. 5. Burch, F. E.: Evisceration of the Globe With Scleral Implant and Preservation of the Cornea , Amer. J. Ophthal. 23:47, 1940. 6. Cross, F. R.: Sympathetic Ophthalmitis Occurring After Evisceration , Trans. Ophthal. Soc. U.K. 7:149, 1887. 7. Cross, F. R.: Some Cases of Sympathetic Ophthalmitis , Trans. Ophthal. Soc. U.K. 17:300, 1897. 8. Duke-Elder, W. S.: Text-Book of Ophthalmology , Vol. 3, St. Louis, The C. V. Mosby Company, 1940, p. 2328. 9. Gifford, H.: On Sympathetic Ophthalmitis After Evisceration and Mules Operation: With a Case , Ophthal. Rec. 17:584, 1908. 10. Hotz: International Ophthalmic Congress , 1900 11. American Encyclopedia of Ophthalmology , Vol. 6, Chicago, Cleveland Press, 1915, p. 4389. 12. Oliver, C. A.: Clinical History and Histologic Study of a Case of Transferred Ophthalmitis Following the Insertion of a Gold Ball into the Scleral Cavity—Enucleation—Recovery With Useful Vision , Ophthal. Rec. 17:592, 1908. 13. Ruedemann, A. D., Jr.: Modified Burch Type Evisceration With Scleral Implant , Amer. J. Ophthal. 49:41, 1960. 14. Schieck: Bericht der Ophthal. Gesell. Vol. 5:355, 1908 15. American Encyclopedia of Ophthalmology , Vol. 6, Chicago, Cleveland Press, 1915, p. 4389. 16. Schmidt-Rimpler: Deutsch. Med. Wschr. No. (27) , p. 429, 1900 17. American Encyclopedia of Ophthalmology , Vol. 6, Chicago, Cleveland Press, 1915, p. 4427. 18. de Schweinitz, G.: International Ophthalmic Congress , 1900 19. American Encyclopedia of Ophthalmology , Vol. 6, Chicago, Cleveland Press, 1915, p. 4389. 20. Waldispühl: Correspondenzblätt, für Schweizer Aertze, Vol. 16, p. 3, 1896 21. American Encyclopedia of Ophthalmology , Vol. 6, Chicago, Cleveland Press, 1915, p. 4389.
Archives of Ophthalmology – American Medical Association
Published: Jul 1, 1961