ABSTRACT
Orbital exenteration is a disfiguring and life-changing surgical procedure that involves the removal of the socket contents, including the eye, surrounding adnexa and, in some cases, the eyelids, orbital bone and sinuses. Wound healing of exenterated sockets can be complex and may take several months to completely heal. In an attempt to provide a framework for continuity of care for patients who undergo orbital exenteration surgery, we propose a socket wound assessment tool, which will allow professionals to track changes in orbital exenteration wounds. The Manchester Orbital Exenteration Wound Assessment tool (MOEWAT) has been developed to facilitate assessment and evaluation of postoperative exenterated sockets at any given time. Consequently, as the first assessment instrument specifically developed for use in orbital exenterated patients, the MOEWAT could provide a basis for wound-care decision-making in relation to clinical findings.
Subject(s)
Nursing Assessment/methods , Orbit Evisceration , Wound Healing , Body Mass Index , Exudates and Transudates , Health Status Indicators , Humans , Orbit Evisceration/nursingABSTRACT
Various procedures are available for orbital exenteration, mostly for neoplastic disorders, as well as for reconstructive surgery. Within the context of postoperative care prosthetic rehabilitation plays an important role. The specific form of planned epithetic replacement must already be considered in the design of the surgical procedure.
Subject(s)
Algorithms , Orbit Evisceration/nursing , Orbit Evisceration/rehabilitation , Wound Healing , HumansABSTRACT
Exenteration of the orbital contents is a rare but mutilating surgical procedure which can have a profound effect on a patient's life. As a specialist nurse working within the oculoplastics team at Manchester Royal Eye Hospital, the author has taken a particular interest in the wound management of post-operative exenteration patients. Using evidence-based practice relating to cavity wound healing as a cornerstone, he has developed guidelines for the post-operative wound management of these patients both for nurses and other allied professionals. Several surgical approaches to the exenteration of the orbital contents are outlined. The implications for wound healing and other elements of the post operative care for these patients are also explored. Selected dressing products which may be used in patients having undergone orbital exenteration surgery ar reviewed, and practice recommendations and guidelines proposed.
