Medical comorbidities and orbital implant exposure

2021 ◽  
Author(s):  
Larissa A. Habib ◽  
Victoria S. North ◽  
Suzanne K. Freitag ◽  
Michael K. Yoon ◽  
Daniel R. Lefebvre ◽  
...  
Keyword(s):  
Orbital Implant ◽  
Medical Comorbidities ◽  
Implant Exposure

scholarly journals Extraocular Myoplasty: Surgical Remedy For Intraocular Implant Exposure

2020 ◽  
Vol 11 (2) ◽  
pp. 237-240
Author(s):  
Anupam Singh ◽  
M Vathulya ◽  
Ajai Agrawal ◽  
Rupal Verma ◽  
S. K. Mittal ◽  
...  
Keyword(s):  
Foreign Body ◽  
Insertion Site ◽  
Orbital Implant ◽  
Buccal Mucosal Graft ◽  
Implant Exposure ◽  
Absorbable Sutures ◽  
Body Sensation ◽  
History Of ◽  
Vicryl Suture

Background: Evisceration and nucleation are commonly performed ophthalmic surgeries for painful blind eye, disfiguring blind eye, endophthalmitis etc. After both these surgeries it is important to replace the lost volume in the orbit with implant. Implant is associated with many complications such as major discharge, exposure with discharge and implant exposure. The main surgical management of implant exposures basically primary revision or patch grafting with or without removal of the implant. Case: A 60 years old man presented to ophthalmic OPD with complaint of foreign body sensation and irritation in left eye. There was history of evisceration with silicon ball implant in left eye done one month back for painful blind eye at another hospital. On ophthalmic examination, there was a 3 × 4 mm of implant exposure most probably dueto tight closure. As per records the size of implant was 22mm. The patient was planned for extra-ocular myoplasty with buccal mucosal graft under general anesthesia. Observation: After sterile prepping and draping, 360˚ degrees peritomy was performed and care was taken to dissect between tenons and orbital implant. Medialand lateral recti were isolated and dissected upto 10-12mm from insertion site. Both the recti were secured with 6-0 vicryl suture and were detached from their respective insertions, advanced and approximated over the site of implant exposure. Thus the exposed implant was covered with a vascularized base which was reinforced with amucosal graft harvested from the buccal mucosa and secured with absorbable sutures. After 1 year of follow up patient was asymptomatic. Conclusion: Extraocular myoplasty with buccal mucosal graft is a good surgical remedy for orbital implant exposure implant.

Orbital Implant Exposure Treatment with Porcine Dermal Collagen Patching

Orbit ◽  
2006 ◽  
Vol 25 (3) ◽  
pp. 253-256 ◽  
Author(s):  
A. Alwitry ◽  
S. J. Burns ◽  
L. C. Abercrombie
Keyword(s):  
Exposure Treatment ◽  
Orbital Implant ◽  
Implant Exposure ◽  
Porcine Dermal Collagen ◽  
Dermal Collagen

Porous Orbital Implant Exposure: The Influence of Surgical Technique

Orbit ◽  
2013 ◽  
Vol 33 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Elizabeth M. McElnea ◽  
Andrea Ryan ◽  
Tim Fulcher
Keyword(s):  
Surgical Technique ◽  
Orbital Implant ◽  
Implant Exposure

The Versatility of the Temporoparietal Fascial Graft (TPFG) in Orbital Implant Exposure

Orbit ◽  
2014 ◽  
Vol 33 (5) ◽  
pp. 352-355 ◽  
Author(s):  
Liam D. Turner ◽  
Anjana S. Haridas ◽  
Timothy J. Sullivan
Keyword(s):  
Orbital Implant ◽  
Implant Exposure

Elevated white blood cell count may predict risk of orbital implant exposure

2014 ◽  
Vol 49 (1) ◽  
pp. 45-49 ◽  
Author(s):  
Youn-Shen Bee ◽  
Muh-Chiou Lin ◽  
Shwu-Jiuan Sheu ◽  
John D. Ng
Keyword(s):  
Blood Cell ◽  
Cell Count ◽  
White Blood Cell Count ◽  
White Blood Cell ◽  
Blood Cell Count ◽  
Orbital Implant ◽  
Implant Exposure
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