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[Tolerance of orbital implants. Retrospective study on 14 years]
A Ducasse1, A Segal, A Gotzamanis
1Service d'Ophtalmologie, Hôpital Robert Debré, av. du général Koenig, 51092 Reims.
Unlabelled:
The authors report the results of enucleations performed from 1985 to 1998 and the different orbital implants used.
Material And Methods:
All patients undergoing enucleation from 1985 to 1998 were studied.
Results:
68 men and 32 women had an enucleation. The main indication was tumoral diseases, principally choroidal melanomas and ciliary melanomas (respectively, 26 and 8). More rarely the indication was orbital metastasis or eyelid carcinoma. The follow indications were traumatisms and neovascular glaucomas. The orbital implants used were mainly Allen implants, silicone implants and hydroxyapatite implants. The main complication was the expulsion of the implant, which occurred in about 20% of the cases, for the most part in the group of silicone and tunnel implants patient. These expulsions were found less with hydroyxapatite implants. For the hydroxyapatite implants we also noticed the some conjunctival erosion. The expulsion of the implant occurred most often before 2 years.
Conclusion:
The authors report on the survey of orbital implants used for 14 years. They noticed the high frequency of expulsions when they used tunnel or silicone implants and better results with hydroxyapatite implant.