Two techniques of evisceration: Russian doll and parachute

The authors describe two new techniques of evisceration after resection of the corneal epithelium and limbus with a conservative approach of the poste rior lamella of the cornea and anterior sclera after a 360 degrees dissecti on of the sclera behind the insertion of the oculomotor recti muscles, and with a conservative approach of the recti oculomotor muscles. The technique is called "Parachute" when the posterior sclera is removed and "Russian Do ll" when the posterior sclera is not removed and placed behind the orbital implant. The implant is then introduced with "bird cage" forceps, The indic ations of the technique are those of evisceration when the size of the rema ining globe is at least one-third of the volume of a normal eye. The main a dvantage is to provide safely a large volume for the implant in order to pr event post enucleation socket syndrome.