AbstractIntroduction: Enucleation means excision of the eye. The indications for the excision of an eye are intraocular malignant neoplasm’s; penetrating wounds with intraocular inflammation liable to cause damaged by injury so that no useful vision can be regained; and totally blind, painful and unsightly eyes. A simple enucleation results in an unsuitable socket for filling with any type of ocular prosthesis. A new operation for removal of the eye was reported in the mid-nineteenth century. The use of an orbital implant was a major breakthrough in ophthalmic socket surgery. The basic principal in surgery is to avoid this “Post-enucleation socket syndrome”. Orbital implantation is possible after enucleation and evisceration also. But nowadays most accepted method is primary orbital implantation after enucleation. Aims and Objectives: The present study was carried out to study the various indications and complications of enucleation. To evluate the efficacy of primary orbital implant after enucleation Material and Methods: The present study was carried out at the S. R. T. R. Government Medical College, Ambajogai in Department of Ophthalmology from January 2010 to December 2013. The patients were selected on following criteria: Blind eye, Painful blind eye, Disfiguring eye, Dangerous eye. The artificial eye shell applied at the end of one week. Results: In the present study Males were 19(54.28%) and females were 16(45.71%).The maximum number of cases were 21 (59%) between the age group 16 to 45 years. In majority of cases 16(45.71%) left eye was involved while in 19 (54.28%) left eye was involved. In majority of cases 10(28.57%) anterior staphyloma was indication, followed by Perforating injury 9(25.71%). Extrusion was the only major complication and was seen in 2(5.71%) patients. Overall success rate was 94.28%. Out of 35 only 2 cases had extrusion of the implant. Conclusion: It was concluded that Primary orbital implant after enucleation, is a simple, safe and less time consuming procedure which can be done in all age group and corrects volume deficit and avoids “Post enucleation socket syndrome”.

Keywords: enucleation.