[Clinical use of orbital implant in autogenous sclera]

The authors embedded orbital implants wrapped up in autogenous sclera into 11 patients after enucleation, with sutures to fix the sclera to external ocular muscles. Tenon's capsule, and conjunctiva. The total volume of the implant was about 6 cm3 and the weight less than the eyeball. A shell was placed into the cul-de-sac after the operation to be replaced by a prosthesis 6 weeks later. No extrusion or displacement of the implants occurred in follow-ups of 6 months to 2 years and the cosmetic effect was good. Tissue tolerance and ample motility could have resulted from the scleral wrapping and suture fixation to the muscles.