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Related Experiment Videos

Enucleation, evisceration, and exenteration.

P A Rubin1

  • 1Eye Plastics and Orbit Service, Massachusetts Eye and Ear Infirmary, Boston.

Current Opinion in Ophthalmology
|October 5, 1993
PubMed
Summary
This summary is machine-generated.

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Recent advancements in managing anophthalmic patients include promising expandable orbital implants for infants. Hydroxyapatite implants show potential but require further research due to exposure risks and management challenges.

Area of Science:

  • Ophthalmology
  • Biomaterials Science

Background:

  • Anophthalmia and microphthalmia affect patient quality of life.
  • Enucleation incidence is estimated at 3-5 per 100,000 annually.
  • Optimal management of the anophthalmic socket is crucial for prosthetic rehabilitation.

Purpose of the Study:

  • To review recent advancements in the management of anophthalmic patients.
  • To evaluate the efficacy and complications of various orbital implants.
  • To discuss strategies for managing implant exposures and assess implant vascularization.

Main Methods:

  • Review of current literature on anophthalmic patient management.
  • Analysis of studies on expandable orbital implants and hydroxyapatite implants.
  • Comparison of techniques for managing implant exposures, including fascial grafts.

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  • Evaluation of imaging modalities for assessing implant vascularization.

    • Main Results:

    • Expandable orbital implants show promise for infant orbital growth in anophthalmia/microphthalmia.
    • Hydroxyapatite implants have encouraging initial results but exhibit concerning exposure rates.
    • Autologous fascial grafts are preferable to heterologous sclera for managing exposures.
    • MRI is superior to bone scan for noninvasive assessment of hydroxyapatite implant vascularization.

    Conclusions:

    • Further research is needed to optimize enucleation implants.
    • Management of anophthalmic socket complications requires tailored approaches.
    • Balancing implant efficacy with complication rates remains a key challenge.