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Complications Following Enucleations and Subsequent Oculoplastic Surgeries
Jennifer S N Verhoekx1, Win Hou Willy Tse1,2, Anina Rengifo Coolman1,3
1The Rotterdam Eye Hospital, Rotterdam.
Ophthalmic Plastic and Reconstructive Surgery
|July 28, 2017
Summary
Oculoplastic surgeries like blepharoptosis repair are needed in 14% of adult enucleation patients, typically 2 years post-surgery. Early complications are rare, with most managed non-surgically.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Enucleation is a common procedure for various ocular conditions.
- Post-enucleation complications can necessitate further surgical intervention.
Purpose of the Study:
- To analyze the types and frequency of oculoplastic surgeries following enucleation in adults.
- To identify common complications and their management after enucleation.
Main Methods:
- Retrospective review of 186 adult patients undergoing enucleation with alloplastic implants (2001-2013).
- Data collection included demographics, indications, implant size, complications, and subsequent surgeries.
Main Results:
- Malignancy (79.6%) and blind painful eye (12.4%) were primary indications for enucleation.
- 14% of patients required subsequent oculoplastic surgery, most commonly for blepharoptosis (7%).
- Eyelid surgery occurred ~1.9 years post-enucleation; socket repair for surface breakdown occurred ~0.9 years post-enucleation.
Conclusions:
- Blepharoptosis and enophthalmos are frequent complications after enucleation.
- Approximately 15% of patients need oculoplastic procedures, typically 2 years after enucleation.
- Early postoperative surgery is rarely required.
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