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Four petal evisceration versus standard technique: A retrospective study
Stefano Ranno1, Massimiliano Serafino2, Paolo Nucci3
1San Giuseppe Hospital, Milan, Italy.
European Journal of Ophthalmology
|August 18, 2020
Summary
The four-petal evisceration technique resulted in no orbital implant exposure, unlike the standard method. This technique is beneficial for patients with phthisis bulbi, allowing larger implant placement.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Orbital Reconstruction
Background:
- Evisceration is a surgical procedure to remove the eye's contents while preserving the sclera.
- Orbital implant exposure and migration are potential complications following evisceration.
Purpose of the Study:
- To compare the outcomes of the four-petal evisceration technique versus the standard evisceration technique.
- To evaluate orbital implant exposition and complication rates between the two techniques.
Main Methods:
- Retrospective, comparative case series study.
- Review of 16 patient charts meeting inclusion criteria.
- Analysis of orbital implant exposure and complication rates.
Main Results:
- No implant exposure or migration occurred in the four-petal group (n=8).
- Two cases (25%) of implant exposure were observed in the standard evisceration group (n=8).
- All surgeries were uneventful with no serious complications.
Conclusions:
- The four-petal evisceration technique is effective in preventing implant exposure.
- This technique is particularly advantageous for patients with phthisis bulbi, enabling larger implant placement.
- The four-petal technique offers a lower rate of implant exposure compared to the standard method.
