A Short History of Enucleation

Jain²,

Journal of Prosthodontics

et al. 2012

Maxillofacial prosthetic (MFP) rehabilitation can be especially challenging in a young, precooperative, or behaviorally compromised child presenting with an enucleated eye. Retinoblastoma is the most common intraocular malignancy in childhood and is one of the most common pediatric cancers. Treatment consists of enucleation (or removal of the entire globe) followed by placement of orbital implants. Unrestored anopthalmic sockets exhibit growth retardation and can lead to facial disfigurement. This report describes the challenges faced during rehabilitation of a 6-month-old girl with an anophthalmic socket due to enucleation for retinoblastoma. The objective of the MFP team was to provide a custom-built, acrylic ocular prosthesis in as comfortable and atraumatic manner as possible. The case was a success and underscores the value of a multidisciplinary dental approach for the treatment of children with very special needs.

mentioning

confidence: 99%

Rehabilitation after Surgical Treatment for Retinoblastoma: Ocular Prosthesis for a 6‐Month‐Old Child

Jain²,

Journal of Prosthodontics

et al. 2012

Acta Ophthalmologica Scandinavica

“…(Luce 1970). Evisceration refers to the surgical removal of the ocular contents without invasion of the orbit.…”

mentioning

confidence: 99%

Enucleation and evisceration in Iceland 1964‐1992. Study in a defined population

Sigurðsson¹,

Thórisdóttir²,

Björnsson³

1998

ABSTRACT. A retrospective study showed that from 1963-1992 200 eyes were enucleated or eviscerated in Iceland. The mean annual age-adjusted incidence per 100 000 population was 2.66, 50% higher for males than females. The mean annual age-and gender-adjusted incidence has decreased; was highest 3.58 per 100 000 for the period 1971-1978, but was 1.76 per 100 000 for the period 1985-1991. The indications were 1) Blind painful eye (92 eyes), 2) Suspicion of malignant neoplasm (49 eyes), 3) Acute trauma (35 eyes), 4) Corneal ulcer (17 eyes), 5) Other (7 eyes). Of blind painful eyes only 12 (6%) were due to neovascular glaucoma. Medical care is self-contained within the country, the incidence for enucleation is decreasing for all categories except malignancy.

Int J Applied Ceramic Tech

“…Even though it is a difficult decision, there are some critical conditions, for example, blind and painful eyes, eyes with intraocular tumors or after severe trauma, in which the removal of the entire eye or its content is still mandatory. 3 The surgical techniques used to remove the eye in toto or its content evolved at the same time than the evolution of the orbital implants. 2 Till the Middle Age, different combinations of moldable materials (eg, wool, clay) and noble metals (eg, gold, silver) were used to fabricate different kinds of ocular prosthesis; the thin metallic foil covering the anophthalmic socket was often enameled or painted to reproduce the color of natural iris, thereby providing the patient's face with more acceptable aesthetics.…”

Section: Introductionmentioning

confidence: 99%

Bioactive glass and glass‐ceramic orbital implants

Baino

Verné

Fiume

et al. 2019

This review focuses on the applications of bioactive glasses and glass‐ceramics in the field of orbital implants for ocular surgery. This use is relatively novel and less popular compared to the applications in orthopedics and dentistry for the repair of bone and teeth. Recent studies have shown the suitability of bioactive glasses and glass‐ceramics in contact with soft tissues for promoting additional effects associated to the release of therapeutic inorganic ions. Specifically, the angiogenic and antibacterial actions that may be elicited by selected glass compositions are highly appealing for the development of new‐generation orbital implants, since improved vascularization and antiseptic properties are the key for a higher success rate of anophthalmic socket procedures. An overall picture of existing orbital implants based on bioactive glasses is here provided, and the further potential and open challenges for future research in this field are highlighted and discussed.