Prevention of Exposure of Porous Orbital Implants Following Enucleation

Wang, Jia-Kang; Liao, Shu‐Lang; Lai, Peng-Sheng; Lin, Longfei

doi:10.1016/j.ajo.2006.09.037

Cited by 28 publications

(17 citation statements)

References 53 publications

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“…Although porous implants have better integration than other alloplastic implants, they are expensive. [ 10 11 ] We used a silicon sphere due to economic reasons and the emergent situation. Although studies have noted that insertion of a larger implant could prevent enophthalmos and superior sulcus deformity, this may be associated with increased risk of implant extrusion.…”

Section: Discussionmentioning

confidence: 99%

Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Chen

Tsai

2020

Taiwan J Ophthalmol

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Orbital implant exposure may be the most common complication after evisceration surgery with orbital implantation. Management of implant exposure is a vital issue for oculoplastic surgeons. We present the case of a patient with nontraumatic eyeball rupture receiving dermis-fat graft after early implant exposure. The present case with multiple penetrating keratoplasty history underwent emergent evisceration and silicon sphere implantation due to nontraumatic eyeball rupture with severe uvea prolapse. The surrounding corneal tissue of the rupture aperture was almost unidentified before the operation. Deep superior sulcus syndrome and orbital implant exposure developed 2 months after the operation; hence, orbital reconstruction and dermis-fat graft transplantation were performed. Orbital reconstruction and orbital implant exposure management are discussed in the content.

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Section: Discussionmentioning

confidence: 99%

Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Chen

Tsai

2020

Taiwan J Ophthalmol

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“…The exposure rate was 12% (2 out of 17 patients) in Group 1 who received a Vicryl mesh wrapped implant without scleral patch, and no exposure in Group 2 (45 patients), who received anterior capping with a scleral patch on the Vicryl mesh wrapped implant. [6] No wrapping material around the implant was used in our study patients.…”

Section: Discussionmentioning

confidence: 99%

Orbital implant exposure following enucleation or evisceration

2017

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“…According to Wang et al [33], scleral patch graft and vicryl mesh can act as duplicate barriers between the anterior surface of implants and overlying soft tissues and this modified wrapping technique prevents porous implants Treatment of the anophthalmic socket Quaranta-Leoni 423 from exposure effectively. Wang et al [34] also studied exposure rates in children and concluded that different types of implants and wraps resulted in various exposure rates in the paediatric population.…”

Section: Prevention Of Implant Exposurementioning

confidence: 99%

Treatment of the anophthalmic socket

Quaranta‐Leoni¹

2008

Current Opinion in Ophthalmology

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Implant materials and wrapping, surgical technique and treatment of lid malpositions associated with postenucleation socket syndrome are all factors affecting the rehabilitation of patients with anophthalmia. Current clinical evidence does not support porous implants with respect to nonporous implants. The treatment of congenital anophthalmia is directed through a simultaneous stimulation of both soft tissue and bony orbital growth. Further studies with extensive follow-ups are necessary as adverse effects may develop many years after socket surgery.

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Prevention of Exposure of Porous Orbital Implants Following Enucleation

Cited by 28 publications

References 53 publications

Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

Orbital implant exposure following enucleation or evisceration

Treatment of the anophthalmic socket

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