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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.
Ophthalmic Plastic and Reconstructive Surgery
|March 22, 2005
Summary
A novel conjunctiva-sparing surgical technique for secondary orbital implantation was developed. This safe and effective method benefits patients needing to avoid conjunctival incisions, achieving good outcomes.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Secondary orbital implantation is crucial for anophthalmic socket reconstruction.
- Conjunctival cicatrization can complicate traditional implantation methods.
Observation:
- A conjunctiva-sparing technique using a lateral canthal approach was performed on two patients.
- This involved temporary disinsertion of the lateral rectus muscle to place an intraconal biointegratable implant.
Findings:
- Both patients achieved successful surgical outcomes with no intraoperative or postoperative complications.
- The implants remained stable for nearly two years post-surgery.
Implications:
- This lateral canthal approach offers a safe and effective alternative for secondary orbital implantation.
- It is particularly suitable for patients requiring preservation of the conjunctiva.