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[Enucleation with on-the-table evisceration. Is it a good technique?]
M H Duong1, P Barraco, D Schapiro
1Département de chirurgie oculo-plastique de la Fondation Ophtalmologique Adolphe de Rothschild, 25 à 29, rue Manin-75 940 Paris.
Journal Francais D'Ophtalmologie
|March 16, 2002
Summary
This study shows that enucleation with on-the-table evisceration and hydroxyapatite implant wrapped in sclera is a safe and effective technique for painful blind eyes. It provides good cosmetic results with few complications.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
- Orbital Implants
Context:
- Painful blind eyes (phthisis bulbi) require management to improve patient comfort and cosmesis.
- Traditional treatments can have limitations in achieving satisfactory aesthetic outcomes.
- The development of orbital implants has advanced the field of anophthalic socket reconstruction.
Purpose:
- To evaluate the efficacy and safety of a specific surgical technique for treating painful blind eyes.
- This technique involves enucleation, on-the-table evisceration, and placement of a hydroxyapatite orbital implant wrapped in autologous sclera.
Summary:
- A retrospective study of 50 patients undergoing this technique between 1993 and 1999.
- Key outcomes analyzed included conjunctival complications, implant size, prosthesis motility, and cosmetic results.
- The procedure demonstrated a low complication rate, with inclusion cysts and discharge being the most common.
Impact:
- The described surgical method facilitates the implantation of a large orbital implant, leading to favorable cosmetic results.
- This technique offers a viable and straightforward option for managing phthisis bulbi without significant complications.
- Improved prosthesis motility and tolerance were observed, enhancing patient satisfaction.