[Epithelial ingrowth after evisceration]

Area of Science:

• Ophthalmology
• Pathology

Background:

• Ocular evisceration with implant placement is a common procedure for orbital reconstruction.
• While established since the 16th century, surgical techniques and materials continue to evolve.

Observation:

• A 67-year-old patient experienced persistent wound dehiscence following evisceration.
• Surgical removal of the scleral shell and orbital implant was performed.

Findings:

• Histopathological and immunohistochemical analysis revealed epithelial ingrowth into the implant.
• Infection of the orbital implant was identified as a contributing factor.

Implications:

• Epithelial ingrowth and infection are significant complications following orbital evisceration.
• Avoiding suture tension and incarceration is vital for preventing secondary complications and ensuring better outcomes in orbital implant surgery.