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Multiple Choice

Which procedure removes the contents of the globe leaving only the scleral shell?

Removing the contents of the eye while keeping the scleral shell is evisceration. In this procedure the internal structures—such as the cornea, iris, lens, retina, choroid, and vitreous—are removed, but the sclera stays intact. Preserving the scleral shell allows the extraocular muscles to remain attached and enables better placement of an orbital implant, which helps with more natural cosmetic appearance and prosthetic movement. This approach is chosen when the eye needs to be relieved of pain or infection but the surrounding orbital architecture is kept intact for a better cosmetic result. Other terms don’t fit: a forceps is a surgical instrument rather than a procedure; excision is a general term for tissue removal and doesn’t specify preserving a scleral shell; icterus refers to jaundice and isn’t a procedure.

Removing the contents of the eye while keeping the scleral shell is evisceration. In this procedure the internal structures—such as the cornea, iris, lens, retina, choroid, and vitreous—are removed, but the sclera stays intact. Preserving the scleral shell allows the extraocular muscles to remain attached and enables better placement of an orbital implant, which helps with more natural cosmetic appearance and prosthetic movement. This approach is chosen when the eye needs to be relieved of pain or infection but the surrounding orbital architecture is kept intact for a better cosmetic result.

Other terms don’t fit: a forceps is a surgical instrument rather than a procedure; excision is a general term for tissue removal and doesn’t specify preserving a scleral shell; icterus refers to jaundice and isn’t a procedure.