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[Epithelial ingrowth after evisceration].

P L Müller1,2, M C Herwig-Carl3,4, F G Holz3

  • 1Universitäts-Augenklinik Bonn, Ernst-Abbe-Str. 2, 53127, Bonn, Deutschland. philipp.mueller@ukb.uni-bonn.de.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|December 22, 2016
PubMed
Summary
This summary is machine-generated.

Persistent wound dehiscence after evisceration in a 67-year-old patient was linked to epithelial ingrowth and implant infection. Careful surgical technique is crucial to prevent complications like secondary infections and implant issues.

Keywords:
EnucleationHistopathologyImmunohistochemistryInfectionOrbital implant

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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.