Modified four incomplete petals evisceration technique: A 14 year case series
Albert Arnaiz-Camacho1, Tirso Alonso1, Joan Oliveres1
1Opthalmology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
This study presents a modified four-petal evisceration technique for orbital implant surgery. The novel approach successfully prevented implant exposure in all patients, ensuring successful ocular prosthesis adaptation.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Orbital implant exposure is a complication following eye evisceration.
- Existing techniques may have limitations in preventing implant exposure.
Purpose of the Study:
- To describe a modified four-petal evisceration technique.
- To evaluate the technique's efficacy in minimizing orbital implant exposure.
Main Methods:
- A modified four-petal evisceration technique was developed, involving incomplete division of scleral flaps.
- A case series of 122 eyes (121 patients) with a minimum 12-month follow-up was conducted.
Main Results:
- No cases of orbital implant exposure or extrusion were observed.
- Successful ocular prosthesis adaptation was achieved in all patients without complications.
Conclusions:
- The modified incomplete four-petal evisceration technique is safe and effective.
- This technique offers a valid alternative for preventing orbital implant exposure.
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