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Secondary orbital implants after evisceration: a new conjunctiva-sparing technique
Richard H Hart1, Eric Barnes, A Jane Dickinson
1Eye Department, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-Upon-Tyne, United Kingdom.
Purpose:
To describe a new conjunctiva-sparing technique for secondary orbital implantation after evisceration.
Methods:
Two patients with conjunctival cicatrization and a volume-deficient anophthalmic socket had implantation of an intraconal biointegratable implant. This was placed through a lateral canthal approach, after temporary disinsertion of the lateral rectus, thereby avoiding further injury to the conjunctiva.
Results:
A good surgical outcome was achieved in both patients. There were no intraoperative or postoperative complications, and both have remained stable for nearly 2 years.
Conclusions:
Secondary intraconal implantation through the lateral canthal approach is safe and effective and suitable for patients in whom it is desirable to avoid a conjunctival incision.
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