Minimal evisceration combined with orbital implantation

Abstract

Background: To evaluate the minimal evisceration technique, which aims to reduce surgical damage and complications and achieve better cosmetic outcomes.Methods: Eighty patients were enrolled from January 2013 to January 2019. All of the patients underwent a minimal evisceration and hydroxyapatite (HA) implant procedure, including making a lateral incision on the sclera only, transecting the optic nerve, and placing an HA implant behind the posterior sclera in the muscular cone. The implant was covered by two layers of the sclera. The main outcome measures were surgery time, blood loss, days of hospitalization, time interval for placement of prosthesis after surgery, complications, such as implant extrusion or exposure, enophthalmos, conjunctival sac stenosis, and cosmetic outcome.Results: All of the patients received minimal evisceration combined with an orbital implant. The average surgery time was 30 min, blood loss was 3 ml, days of hospitalization were 3, and the time interval for placement of the prosthesis after surgery was 4 week. No complications were recorded. The cosmetic appearance and implant mobility were satisfactory.Conclusions: This technique has advantages such as less damage, fast recovery, good effects and fewer complications. It appears to be a perfect modification for anophthalmic socket reconstruction.