CPT® Code 65112

Exenteration of the orbit is a surgical procedure primarily indicated for the removal of orbital tumors or intraocular tumors that have extended into the orbit or surrounding extraorbital structures, which may include the eyelids or the bony structures surrounding the eye. The procedure involves the complete removal of the contents of the orbit, which includes the eye itself and any associated tissues, while also addressing any underlying bony structures if necessary. The term 'exenteration' refers to the extensive nature of this surgery, which is performed to ensure that all diseased tissue is removed to prevent further complications or spread of malignancy. The procedure is complex and requires careful dissection and removal techniques to minimize damage to surrounding healthy tissues, particularly when the eyelid anatomy is intact. In cases where the eyelids are preserved, incisions are made strategically to allow for proper closure post-surgery. If the eyelids are completely excised, additional techniques such as skin grafting may be employed to facilitate closure of the surgical defect. This procedure is critical in managing severe orbital conditions and requires a thorough understanding of the anatomy and potential complications associated with the removal of orbital contents.