When is enucleation indicated in lens luxation?

When is enucleation indicated in lens luxation?

• A. When the eye is blind and painful
• B. When vision is still present
• C. For cosmetic reasons
• D. Corneal ulceration

Answer: (A)

Enucleation is indicated in lens luxation when the eye is blind and painful. When the globe has lost its vision and the dislocated lens leads to recurrent inflammation, high intraocular pressure, and persistent pain that cannot be adequately controlled, removing the eye provides definitive relief and prevents further damaging inflammation. If vision is still present or could be restored with globe-sparing procedures, those options are pursued instead of enucleation. Cosmetic reasons alone do not justify removing a functioning or potentially salvageable eye, and corneal ulceration is managed based on its own prognosis and severity rather than as a blanket indication for removal unless the eye is irreversibly nonfunctional and painful.

Enucleation is indicated in lens luxation when the eye is blind and painful. When the globe has lost its vision and the dislocated lens leads to recurrent inflammation, high intraocular pressure, and persistent pain that cannot be adequately controlled, removing the eye provides definitive relief and prevents further damaging inflammation. If vision is still present or could be restored with globe-sparing procedures, those options are pursued instead of enucleation. Cosmetic reasons alone do not justify removing a functioning or potentially salvageable eye, and corneal ulceration is managed based on its own prognosis and severity rather than as a blanket indication for removal unless the eye is irreversibly nonfunctional and painful.