Hello everyone! Long story short, I’m having my eye taken out next week, and I’m starting to get really nervous. I know this is what I want, it’s been what I’ve wanted for a while, so it’s not nerves about having made the wrong decision. I’m just worried that I don’t know what to expect. Has anyone experienced an evisceration with orbital implant surgery, and can give me an idea of what to expect?
Specific_Offer48006 points1y ago
I had both eyes enucleated, so this may help. 1 do not lay on your side after the procedure, make sure you have a way of sleeping on your back for the first week. I would put pillows to the left and right of you to prevent automatic rolling on to your side in your sleep. 2. make sure they give you pain medication, to take afterward. usually they prescribe tylenol3s. 3. make sure you keep icing your eye every hour or two to keep the swelling down. After your eye procedure you may feel every snip and zoop and zap, from the opperation, at least I did. You might find that you will feel imaginary liquid dripping down your cheak. If you consume cannabis, after your procedure, if consumed in edible form, you may get the feeling of shit, I just want to rip the whole thing out implant and all, so keep it easy on the edible dosing. Good luck. I found the second eye removal was easier to deal with because my body had already been through it before, but in general, eye removal is no picnic.
bethyjane [OP]2 points1y ago
Thanks for the info! I’ve just spoken to so many people, but no one who has actually has the procedure done, so it’s good to hear from someone who actually knows! That sounds about what I would expect, didn’t think of icing it though, so thank you!
Specific_Offer48002 points1y ago
The people that give you the procedure should give you all this info afterward. But I spoke to someone recently who did not get this info. Also evisuration is different then enucleation, so you might want to also do your own research, because some of what I said may not apply to your situation. I’ll be curious how everything works out for you, so you have to follow up once its all over and tell us how it went.
codeplaysleep2 points1y ago
I had this done my junior year of high school, but it's been 26 years, so things may have changed since then. By and large, it was not a major deal, although the first 12 hours after surgery were kind of rough.
I woke up from surgery with a large pressure dressing over the eye socket and that stayed on until my follow-up appointment with my surgeon the next day. I had some dull but significant pain, but the prescribed painkillers kept it tolerable.
My biggest issue was nausea. Apparently anything that messes with the optic nerve, even if you can't see out of the eye, can cause nausea. They gave me phenagren which helped some, but there are even better anti-nausea medications now.
If you have to travel any distance for the surgery, I'd say plan to stay in a nearby hotel that first night if you can. I had to travel for mine and we didn't do that (I suspect money was an issue) and the ride home was awfully unpleasant.
After getting home, I had some fitful sleeping for the rest of the day/night - some of it was discomfort, some of it was, I have come to learn since, just the way my body reacts to general anesthesia. You'll need to sleep on your back for a while, and it's probably going to be more comfortable to use some pillows to keep yourself propped up so you're not laying flat.
Within 12 hours, I was having less pain post-op than I'd had from the eye itself prior to the surgery, so I was just managing it with regular extra strength Tylenol at that point.
I remember feeling significantly better by the next morning. The nausea was gone and I didn't need to take the prescription painkillers, so my head was clearer.
We traveled the hour back for my follow-up visit and they took the pressure dressing off at that point. My doctor examined everything and put a normal dressing over my eye.
I had to keep it bandaged for a few more days (can't remember how long exactly, but it wasn't long), changing the bandage and flushing the eye socket with sterile saline a couple times a day, if memory serves.
I continued to sleep on my back for a couple weeks because it was more comfortable. I can't remember if I wore an eye shield over the socket for a while at night after the bandage came off or not.
Then it was just a matter of waiting for the swelling to go down so I could get my prosthesis made. I had a conformer in there to help hold the shape of the socket and keep things from shrinking until I could get an eye made. It was smaller than the prosthesis , due to needing to account for swelling, so after the swelling went down some, I had to be careful not to make any sudden movements or it would just fly out of my head.
All in all, I had the surgery on a Wednesday afternoon and was back to school the following Monday.
bethyjane [OP]1 points1y ago
Thank you! We live like 3 hours away from the hospital, so I’ll be in overnight, hopefully that helps during that first 12 hours! One of the things i was wondering about was how long I’d have the big pressure bandage on for, it makes sense that it would just be overnight!
BlueIr1ses2 points1y ago
When I had my eye removed, it was the first time I had had anesthesia. I was very nauseous afterwards and vomited quite a bit. I was told that eye surgery is more likely to cause that side effect? You can ask for the type of anesthesia that is less likely to cause vomiting, though. I will say that the first thing I was aware of post surgery was that my eye/head did not hurt anymore! Make sure you have some help at home, so you can rest afterwards. Also, if you see out of your other eye, you should be aware that it may be hard to open it to see because the healing eye will be closed. One lid wants to do what the other lid is doing, I guess? Overall, my recovery was pretty easy and I was happy with the results. Good luck!
bethyjane [OP]1 points1y ago
I remember my other eye being difficult after my last few surgeries too, I wonder how it will cope when it doesn’t have its friend at all! Thanks for the info, it’s all helping me calm down a bit ☺️
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