Exposure of tantalum mesh orbital implants

This retrospective study of 195 enucleations with tantalum mesh implants reviews the role of demographic, preoperative, and operative factors in subsequent implant exposure or extrusion. Fourteen implants (7.2%) became exposed, two of which subsequently extruded. Significant associations were found between implant exposure and history of prior orbital infection, and suturing of the inferior oblique to the lateral rectus muscle. The average age at enucleation was 20.4 years for those whose implant became exposed, which was significantly less than the average age of 38.7 years for those without exposure of the implant. No association was found between implant exposure and gender, preoperative diagnosis, proptosis, chemosis, sharp trauma to the orbit, orbital fracture, previous orbital surgery, implant size, closing of posterior Tenon's capsule, or muscles sutured to the implant. Because of the high exposure rate, it is recommended that the use of tantalum mesh implants be discontinued.