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Long-term Surgical Outcomes of the Multi-purpose Conical Porous Synthetic Orbital Implant.

Kang MJ, Jung SK, Cho WK, Paik JS, Yang SW - Korean J Ophthalmol (2015)

Bottom Line: The results focus on documenting surgical findings, as well as postoperative complications among patients.Blepharoptosis was found in four eyes (6.8%), two of which received upper eyelid blepharoplasty (3.4%).In addition, the MCOI may have advantages with respect to postoperative cosmetic outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: We present clinical results of the use of the multipurpose conical porous synthetic orbital implant (MCOI) in surgical procedures of evisceration, enucleation, and secondary enucleation in ophthalmology patients.

Methods: A retrospective review was performed of 59 eyes in which conical implants were used, including 36 cases of eviscerations, 11 enucleations, and 9 secondary enucleations. In all of the cases, the follow-up period was greater than six months between 2004 and 2013. The results focus on documenting surgical findings, as well as postoperative complications among patients.

Results: Superior sulcus deformities were found in six eyes (10.2% of conical implant patients), and two eyes received additional surgical interventions to correct the deformities (3.4%). Blepharoptosis was found in four eyes (6.8%), two of which received upper eyelid blepharoplasty (3.4%). Fornix shortening was reported in only one eye (1.7%). Forty-one eyes had a satisfactory cosmetic appearance after the final prosthetic fitting of conical implants (69.5%). The most frequent postoperative complication was orbital implant exposure, which seemed to occur when the preoperative status of the conjunctiva, Tenon's capsule, and sclera preservation were poor in the eyes of the patients.

Conclusions: There was a lower incidence of blepharoptosis and fornix shortening with the MCOI in comparison to spherical implants, while the incidence of orbital implant exposure was similar with the MCOI in comparison to other types of orbital implants. In addition, the MCOI may have advantages with respect to postoperative cosmetic outcomes.

No MeSH data available.


Related in: MedlinePlus

(A) Preoperative photo of a patient with an injected phthisical right eye. (B) After evisceration, and with implantation of a multipurpose conical porous synthetic orbital implant with prosthesis.
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Figure 2: (A) Preoperative photo of a patient with an injected phthisical right eye. (B) After evisceration, and with implantation of a multipurpose conical porous synthetic orbital implant with prosthesis.

Mentions: Among the 59 eyes, 41 eyes (69.4%) were of satisfactory postoperative cosmetic appearance (Fig. 2). Eighteen eyes developed postoperative complications, including orbital implant exposure in eight eyes (13.6%), superior sulcus deformity in six eyes (10.2%), and upper eyelid dermatochalasis in four eyes (6.8%). Ten eyes received secondary surgical interventions to correct complications. Of these ten eyes, six eyes (10.1%) with orbital implant exposure underwent reconstruction using an oral mucosa or dermal fat graft. In the remaining four eyes (6.8%) with lid deformity, a superior sulcus deformity correction or blepharoplasty was performed in two eyes and two eyes (3.4% and 3.4%), respectively (Table 4).


Long-term Surgical Outcomes of the Multi-purpose Conical Porous Synthetic Orbital Implant.

Kang MJ, Jung SK, Cho WK, Paik JS, Yang SW - Korean J Ophthalmol (2015)

(A) Preoperative photo of a patient with an injected phthisical right eye. (B) After evisceration, and with implantation of a multipurpose conical porous synthetic orbital implant with prosthesis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4595254&req=5

Figure 2: (A) Preoperative photo of a patient with an injected phthisical right eye. (B) After evisceration, and with implantation of a multipurpose conical porous synthetic orbital implant with prosthesis.
Mentions: Among the 59 eyes, 41 eyes (69.4%) were of satisfactory postoperative cosmetic appearance (Fig. 2). Eighteen eyes developed postoperative complications, including orbital implant exposure in eight eyes (13.6%), superior sulcus deformity in six eyes (10.2%), and upper eyelid dermatochalasis in four eyes (6.8%). Ten eyes received secondary surgical interventions to correct complications. Of these ten eyes, six eyes (10.1%) with orbital implant exposure underwent reconstruction using an oral mucosa or dermal fat graft. In the remaining four eyes (6.8%) with lid deformity, a superior sulcus deformity correction or blepharoplasty was performed in two eyes and two eyes (3.4% and 3.4%), respectively (Table 4).

Bottom Line: The results focus on documenting surgical findings, as well as postoperative complications among patients.Blepharoptosis was found in four eyes (6.8%), two of which received upper eyelid blepharoplasty (3.4%).In addition, the MCOI may have advantages with respect to postoperative cosmetic outcomes.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: We present clinical results of the use of the multipurpose conical porous synthetic orbital implant (MCOI) in surgical procedures of evisceration, enucleation, and secondary enucleation in ophthalmology patients.

Methods: A retrospective review was performed of 59 eyes in which conical implants were used, including 36 cases of eviscerations, 11 enucleations, and 9 secondary enucleations. In all of the cases, the follow-up period was greater than six months between 2004 and 2013. The results focus on documenting surgical findings, as well as postoperative complications among patients.

Results: Superior sulcus deformities were found in six eyes (10.2% of conical implant patients), and two eyes received additional surgical interventions to correct the deformities (3.4%). Blepharoptosis was found in four eyes (6.8%), two of which received upper eyelid blepharoplasty (3.4%). Fornix shortening was reported in only one eye (1.7%). Forty-one eyes had a satisfactory cosmetic appearance after the final prosthetic fitting of conical implants (69.5%). The most frequent postoperative complication was orbital implant exposure, which seemed to occur when the preoperative status of the conjunctiva, Tenon's capsule, and sclera preservation were poor in the eyes of the patients.

Conclusions: There was a lower incidence of blepharoptosis and fornix shortening with the MCOI in comparison to spherical implants, while the incidence of orbital implant exposure was similar with the MCOI in comparison to other types of orbital implants. In addition, the MCOI may have advantages with respect to postoperative cosmetic outcomes.

No MeSH data available.


Related in: MedlinePlus