Anophthalmic socket: choice of orbital implants for reconstruction

Schellini, Silvana Artioli; Dib, Regina El; Limongi, Roberto; Mörschbächer, Ricardo

doi:10.5935/0004-2749.20150068

Cited by 12 publications

(8 citation statements)

References 26 publications

(47 reference statements)

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“…Advancements in orbital implants stalled until the 1940s when materials such as polymethacrylate (PMMA) and silicone began to be utilized. Both materials are smooth, non-porous, and non-integrated implants and are still in use today [1]. Innovation of polymer in implant materials developed due to limitations of availability for glass and ceramic materials during World War II [2].…”

Section: Discussionmentioning

confidence: 99%

An Orbital Mystery: A Unique Case of an Obsolete Orbital Implant With a Review of Orbital Implant Materials

Anderson-Quiñones¹,

Evans²,

Perchik³

et al. 2022

Cureus

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Orbital implant materials have evolved greatly over the past century and include but are not limited to metal, ceramic, polymer, silicone, and glass. Knowledge of historically used materials is clinically relevant to patient care as certain materials carry a greater risk of migration, extrusion, infection, and limitations for imaging modalities utilized to visualize adjacent structures.We report an unusual case of an 80-year-old male who presented to our community hospital with seizurelike activity. CT imaging of the brain revealed several white matter and cortex lesions with the largest lesion measuring 2.5 × 2 × 1.9 cm. The patient had a history of enucleation with placement of an orbital implant following a penetrating injury to the left eye at four years of age. Hounsfield scale analysis was read by radiology as being most consistent with a thin metallic shell surrounding the orbital implant. The potential for metallic material was consistent with the implant's age and time of placement. Few reviews on ocular implant materials from this period exist in the current medical literature. A single case report discussing a hollow metal orbital implant with similar-appearing imaging was identified. Due to concern for possible metal implant materials, the patient underwent implant exchange so MRI imaging could safely be performed. Intraoperatively, the implant was identified as a clear, hollow, non-metallic, non-porous polymer sphere. Following surgery, the patient was able to undergo appropriate neuroimaging with subsequent diagnostic biopsy.Current literature reviewing CT or photographic imaging of ocular implant devices prior to the 1940s is limited. This case highlights the importance of detailing materials historically used in orbital implants, their effects on clinical decision-making, and the utility of Hounsfield scale values to identify a material's radiodensity on CT imaging.

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Section: Discussionmentioning

confidence: 99%

An Orbital Mystery: A Unique Case of an Obsolete Orbital Implant With a Review of Orbital Implant Materials

Anderson-Quiñones¹,

Evans²,

Perchik³

et al. 2022

Cureus

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“…Majority of the orbital implants involved minor complications such as eye discharge, implant exposure, and migration, which resolved spontaneously or could be easily treated. 21,22…”

Section: Discussionmentioning

confidence: 99%

Complete Globe Avulsion in a 13-Year-Old Young Boy with Maxillofacial Injury: A Case Report and Review of Literature

Gurram

Rajendran

Narayanan

et al. 2018

Craniomaxillofacial Trauma & Reconstruction Open

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Disability is defined as a physical or mental condition that limits a person's movements, senses, or activities. Disability can be congenital or acquired. Modern medicine can only help such an individual with a better lifestyle, but can never cure the condition as a whole. As a result, one is forced to live with it through one's lifetime. Blindness/loss of vision is one such condition which is not only taxing physically but also psychologically especially in a young child. The authors present one such case of complete globe avulsion in maxillofacial trauma due to road traffic accident in a 13-year-old young boy. This case report discusses in detail about the etiology, biomechanics associated with orbital fractures, anophthalmic surgeries, and the various implantation options. The authors would also like to stress the importance of decision making regarding preservation of the globe or enucleation in an emergency situation such as this one, where the patient reports with a “popped out” eyeball. An ophthalmologist along with an oral and maxillofacial surgeon plays a significant role in primary management, restoration, and replacement influencing the final treatment outcome.

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“…Previous studies provide no evidence that integrated implants are superior to nonintegrated implants. [56]…”

Section: Discussionmentioning

confidence: 99%

“…Various methods and different impression techniques were given by many authors for fabrication of eye prosthesis,[1357] but this case report presents a novel method with taking care of tissue surface of prosthesis for better fit, utilizing a custom-made tray for impression with regular body impression material. Furthermore, the cost-effective stock eye shell was used to take the advantage of iris in that for proper orientation and esthetics to enhance the success and acceptance of prosthesis.…”

Section: Discussionmentioning

confidence: 99%

A Novel Method for the Management of Anophthalmic Socket

et al. 2017

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An orbital defect causes severe facial asymmetry and disfigurement that result in an immense emotional trauma to the patient and is also associated with economic, esthetic, and psychological problems. A prosthetic replacement is the treatment of choice in helping individual to return to his normal life by producing an acceptable and lifelike appearance. This case report describes the critical areas of fabrication of ocular prosthesis for a patient with missing right eye due to trauma to eye ball in an accident. Patient had given a history of surgical enucleation of the eye 15 days after ocular trauma. A polymethyl methacrylate ocular prosthesis was planned. The technique described in this case report presents the use of both custom-made and stock eye shell in an attempt to include the benefits of both. A novel attempt was made to simulate eye movements and exact color matching to that of contralateral eye to provide a better and functional ocular prosthesis to the patient.

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Anophthalmic socket: choice of orbital implants for reconstruction

Cited by 12 publications

References 26 publications

An Orbital Mystery: A Unique Case of an Obsolete Orbital Implant With a Review of Orbital Implant Materials

An Orbital Mystery: A Unique Case of an Obsolete Orbital Implant With a Review of Orbital Implant Materials

Complete Globe Avulsion in a 13-Year-Old Young Boy with Maxillofacial Injury: A Case Report and Review of Literature

A Novel Method for the Management of Anophthalmic Socket

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