Donor sclera-wrapped acrylic orbital implants following enucleation: experience in 179 patients in the Netherlands
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Updated: Mar 25, 2026

Fabrication of Decellularized Cartilage-derived Matrix Scaffolds
Published on: January 7, 2019
Henri P Jongman1, Marina Marinkovic1, Irene Notting1
1Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
Purpose:
To report the postoperative results after enucleation of using an acrylic orbital implant covered in donor sclera for implantation.
Methods:
We retrospectively analysed the charts of patients who were enucleated between 2007 and 2011. Only patients who received an acrylic implant covered with donor sclera were included.
Results:
A total of 179 patients were included in our analysis. About 15.6% experienced postoperative problems of which the majority were related to the position of the eyelid. Only one patient (0.6%) had an exposure of the orbital implant.
Conclusion:
Placing an acrylic orbital implant covered with donor sclera is a safe and effective method for reconstruction after enucleation.

