The surgical procedure includes severing the extraocular muscles close to their insertion on the globe, inserting an implant to maintain the infraorbital anatomy, and suturing the ends of the extraocular muscles over the implant.
Postoperatively, the nurse observes the patient for signs of complications, including excessive bleeding or swelling, increased pain, placement of the implant, or temperature elevation. Patient itching should include the installation of topical ointments or drops and wound cleansing.
The nurse should also instruct the patient in the method of inserting the conformer into the socket.
The patient is often devastated by the loss of any, even when enucleation occurs following a lengthy period of painful blindness.
The nurse should recognize and validate the patient’s emotional response and support the patient and the family. Approximately six weeks following surgery, the wound is sufficiently healed for the permanent prosthesis
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