Enucleation and Cosmetic Rehabilitation

Culler, Arthur M.

doi:10.1001/archopht.1951.01700010455011

Cited by 14 publications

(1 citation statement)

References 2 publications

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“…The concept that the surgeon should replace what is removed by enucleation dates back to 1951 when the volume of the globe was thought to be 6.5 mL. 1 The concepts that total volume replacement should be the goal of rehabilitation and that doing so reduces superior sulcus deformity and enophthalmos have been reintroduced in the recent literature. [2][3][4] State-of-the-art enucleation prior to 1999 involved removal of the eye without consideration of the volume that was removed nor the distribution of the replacement volume between the implant and the prosthesis.…”

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confidence: 99%

Pediatric Enucleation

Kaltreider¹

2001

Arch Ophthalmol

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To determine the percent volume replacement by an implant and prosthesis, the long-term sequelae of poor volume replacement, and specific guidelines for volume replacement in pediatric patients. Methods: A retrospective observational study of 16 pediatric patients who underwent enucleation (group 1) and 31 adult patients enucleated in childhood (group 2) was performed. The total volume replacement and the volume replacement by the implant were determined. The incidence of secondary surgical procedures for superior sulcus deformity, enophthalmos, ptosis, ectropion, and socket contraction was determined. Results: The average percent volume replaced by the implants in group 1 patients was 68%. The average percent volume replaced by the implants in group 2 patients was 21%. Seventy-one percent of patients in group 2 underwent secondary implant surgery to augment volume and eliminate superior sulcus deformity and enophthalmos. Conclusions: The placement of an adequately sized implant in pediatric patients may obviate the need for secondary augmentation of socket volume in adulthood. The authors suggest an implant 2 mm less in diameter than the axial length of the eye in pediatric patients.

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confidence: 99%

Pediatric Enucleation

Kaltreider¹

2001

Arch Ophthalmol

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The Orbit

Fralick¹

1952

AMA Arch Ophthalmol

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Choroidal infiltrates simulating fundal changes of acute leukemia during hematological recovery following high-dose chemotherapy in acute myelomonocytic leukemia in remission

2000

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A young female patient of 18 who was diagnosed to have acute myelomonocytic leukemia (AML M4) developed choroidal infiltrate and fundal changes suggestive of acute leukemia deposits while she was in remission and was recovering from chemotherapy induced myelosuppression. The choroidal infiltrates were associated with peripheral blood and CSF monocytosis. The choroidal lesion resolved on its own in 2 week's time, when the peripheral and CSF monocytosis subsided. Interestingly this patient had pseudo-Chediak Higashi inclusions in leukemic blasts with normal karyotype.

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Enucleation and Cosmetic Rehabilitation

Cited by 14 publications

References 2 publications

Pediatric Enucleation

Pediatric Enucleation

The Orbit

Choroidal infiltrates simulating fundal changes of acute leukemia during hematological recovery following high-dose chemotherapy in acute myelomonocytic leukemia in remission

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