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Updated: May 22, 2026

Multi-Scale Modification of Metallic Implants With Pore Gradients, Polyelectrolytes and Their Indirect Monitoring In vivo
Published on: July 1, 2013
[Tolerance of porous polyethylene orbital implants in children]
I Benatiya Andaloussi1, S Bhallil, M Abdellaoui
1Service d'Ophtalmologie, CHU Hassan II, Fès, Maroc. cherdoc@hotmail.com
Insights
Porous polyethylene implants are effective for orbital reconstruction in children under 15. Implant exposure occurred in two cases, but overall, this method is appropriate with careful surgical technique.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Biomaterials
Context:
- Orbital reconstruction after enucleation is crucial for pediatric patients.
- Porous polyethylene implants offer a solution for orbital cavity restoration.
- Understanding complication rates is vital for optimizing pediatric orbital implant use.
Purpose:
- To determine the incidence of orbital complications following porous polyethylene implant insertion in children under 15.
- To evaluate the safety and efficacy of porous polyethylene implants in pediatric anophthalmic cavity reconstruction.
Summary:
- A series of 21 pediatric patients (under 15 years) received porous polyethylene implants for orbital reconstruction post-enucleation.
- Over a mean follow-up of 23 months, two cases of implant extrusion were noted, primarily in retinoblastoma patients.
- No instances of orbital cellulitis or anophthalmic syndrome were reported, indicating a generally favorable safety profile.
Impact:
- Porous polyethylene implants are a suitable option for pediatric orbital reconstruction, with exposure being the main complication.
- Highlights the importance of meticulous surgical technique to minimize risks associated with orbital implants in children.
- Provides valuable data for ophthalmologists and surgeons managing pediatric enucleation and orbital reconstruction.
Introduction:
The purpose of our study is to determine the incidence of orbital complications that occurred after insertion of orbital porous polyethylene implant in children under the age of 15 years.
Material And Methods:
We report a series of 21 eyes of 21 patients younger than 15 years and in which a porous polyethylene implant is used for reconstruction of the orbital cavity after enucleation between January 2003 and December 2008.All patients were operated on by the same surgeon using the same technique.
Results:
These 11 boys and 10 girls, whose average age is 5.7 years. Histopathologic diagnoses after enucleation are dominated by the retinoblastoma (10 eyes) and phthisis bulbi (6 eyes). After a mean follow up of 23 months it was observed two cases of implant extrusion in children enucleated for retinoblastoma. No cases of orbital cellulitis or enucleated syndrome have been reported.
Discussion:
The most common complication of porous polyethylene implants in children is exposure. Risk factors may be related to surgical technique, infection, the implant, use of wrapping material and the association with adjuvant chemotherapy. Using a porous polyethylene implant uncovered remains an appropriate technique in children under 15 years for the reconstruction of the anophthalmic cavity, provided a rigorous surgical technique.
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