Eye removed. In an enucleation, the eyeball is separated from the eye muscles, which are secured with sutures. The optic nerve is then cut and bleeding is stopped. Next, a synthetic implant is placed in the eye socket to take up the volume of the removed eye. The muscles are then attached to the front of the implant with the preplaced sutures. The conjunctiva is sutured closed over the implant.
Surgical removal. Enucleation is reserved for blind eyes that are painful or cosmetically unappealing to the patient. The eyeball is surgically removed and replaced with a device over which a prosthetic eyeshell (i.e., one that does not function but is cosmetiucally acceptible) is placed. The prosthetic eye needs to be taken care of and periodically replaced.
Removal of the eye. The eye itself is separated from both the covering conjunctiva & 6 attached extraocular muscles. The optic nerve is severed & globe is removed from the orbit. A ball made of an inert porous material (like coral) is placed in the space & the muscles reattached to it. A peg on the front of ball snaps into prosthesis (glass eye molded later). Tissue is closed again. Plastic spacer placed btwn lids.