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Wrapping hydroxyapatite implants.

D R Jordan1, S R Klapper

  • 1Department of Ophthalmology, University of Ottawa Eye Institute, Ontario, Canada.

Ophthalmic Surgery and Lasers
|May 20, 1999
PubMed
Summary
This summary is machine-generated.

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Polygalactin (Vicryl) mesh offers a cost-effective option for hydroxyapatite (HA) orbital implants. Proper moistening and orbital seating techniques are crucial for successful HA implant outcomes and to prevent exposure.

Area of Science:

  • Ophthalmic surgery
  • Biomaterials science

Background:

  • Hydroxyapatite (HA) implants are commonly used in orbital reconstruction.
  • Current wrapping materials include human donor sclera, autologous fascia, and various processed tissues or synthetic materials like e-PTFE.
  • These alternatives can be expensive or increase surgical time.

Purpose of the Study:

  • To review the proper surgical technique for using polygalactin (Vicryl) mesh as a wrap for hydroxyapatite (HA) orbital implants.
  • To highlight the importance of specific preparation and placement methods for successful outcomes.

Main Methods:

  • Review of surgical techniques for preparing and implanting HA implants wrapped in polygalactin mesh.
  • Emphasis on the critical steps of moistening the mesh and proper orbital seating.

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Main Results:

  • Polygalactin mesh is a readily available, cost-effective, and easy-to-use alternative wrap for HA implants.
  • Proper moistening and seating of the polygalactin mesh-wrapped HA implant are essential to prevent implant exposure and ensure high success rates.

Conclusions:

  • Polygalactin mesh is a viable and economical option for wrapping HA orbital implants.
  • Adherence to meticulous surgical technique, particularly regarding implant preparation and placement, is key to maximizing success and minimizing complications such as exposure.