Evisceration, which involves the removal of intraocular contents, is performed for blind and painful eyes having endophthalmitis or phthisis . After evisceration, many patients use a cosmetic ocular prosthesis, but for some patients the prosthesis is intolerable. We report a case of successful conjunctival tattooing after evisceration for a patient who was unable to wear an artificial eye. A 27-year-old male presented at our clinic seeking cosm-esis for his left anophthalmic socket. He had undergone previous surgeries for congenital cataracts in the right and the left eyes, 15 and 11 years earlier, respectively. Two years after the surgery to the left eye, total corneal opacity occurred in that eye. Four years prior to presenting at our clinic, the patient experienced phthisis and unbearable pain in the left eye and underwent evisceration and hydro-xyapatite insertion. After the surgery the patient tried unsuccessfully to wear various ocular protheses. When the patient first presented at our clinic, his self-esteem was so low that he was house-bound.
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