This is a retrospective analysis of 1800 patients who had evisceration with orbital implant between 2013-2019. As the largest published series on this topic, the authors are able to give relatable real-world data on complications following surgery. They use a standard surgical technique of two scleral flap sclerotomy (88%) with PMMA implant (97%) in the majority of their patients. Indications for the procedure included: painful blind eye, phthisis bulbi, staphyloma, open globe injury, disfigured blind eye and microphthalmos with poor visual potential. Complications include: implant exposure (3%), implant extrusion (3%), implant distraction (2%), contracted socket (5%), lower eyelid laxity (1%), conjunctival cysts (1%) and ptosis (20%). Their rate of ptosis seems higher in comparison to other smaller studies on this topic, however when excluding those patients with preoperative ptosis this comes down to 8%. The paper provided a good source of information when consenting patients for the complications associated with evisceration and demonstrates that it is a safe procedure with good cosmetic outcomes.