Dr. NEIWETE LOMI

DR. TANVEER ALAM KHAN, DR. TANVEER ALAM KHAN, DR.VENKATESH NATHIYA

Abstract

Fifteen eyes of 15 patients of retinoblastoma underwent enucleation by the same surgeon. During optic nerve transection, two locking artery forceps were used to clamp and hold the residual stumps of the medial and lateral recti muscles; both artery forceps were then held between the thumb and index and middle fingers of the left hand and index and middle fingers were used as a lever on the patient’s forehead to provide gentle anterior pull to facilitate globe prolapse. Curved enucleation scissors were then inserted by the lateral approach and the optic nerve was identified and cut near the orbital apex. The mean length of the optic nerve cut section was 15.4 ± 1.5 mm. This is an easier, safer and faster technique for optic nerve transection during enucleation surgery, which also provides an adequate size of the optic nerve section.