[Alternatives to mutilating surgery. ].

OBJECTIVE

The purpose of this study is to suggest an alternative surgery to mutilating exenteration and enucleation surgeries in the management of nonfunctional, unattractive, and painless eyes. The suggested alternative is lamellar keratectomy with conjunctiva recovery.

DESIGN

Retrospective study.

PARTICIPANTS

Four patient cases in a unit with the benefit of this technique.

METHODS

The surgical processes and results of the four cases were reviewed.

RESULTS

Postoperative results were most satisfactory with good esthetic results and, above all, a better psychological experience of surgery.

CONCLUSIONS

For a nonfunctional, unattractive, and painless eye, lamellar keratectomy with conjunctiva recovery appears to be an appealing alternative to nonconservative eyeball surgeries.