PEEK-on-PEEK orbital implantation: a secondary augmentation approach for delayed enophthalmos

This case report discusses the long-term management of a patient's left zygomatic fracture with an associated orbital floor injury. The initial treatment involved open reduction and internal fixation (ORIF), followed by the placement of a polyetheretherketone (PEEK) implant for globe dystopia. Despite this intervention, the patient developed progressive secondary enophthalmos and globe dystopia. To correct this, a second PEEK implant was used to improve the position of the eye. The aim of this report is to present a novel technique of PEEK-on-PEEK implants to restore globe alignment. This case underscores the importance of a multidisciplinary approach in the management of complex orbital floor fracture.