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Related Experiment Videos

Infection after insertion of alloplastic orbital floor implants

J A Mauriello1, S Hargrave, S Yee

  • 1Department of Ophthalmology, UMD-New Jersey Medical School, Newark 07103-2499.

American Journal of Ophthalmology
|February 15, 1994
PubMed
Summary

Orbital floor fracture repair using alloplastic implants can lead to infections, often requiring implant removal. Prompt management is crucial to prevent complications like ectropion.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Infectious Disease

Background:

  • Alloplastic implants are used for orbital floor fracture repair.
  • Infection is a potential complication following orbital implant surgery.

Observation:

  • Ten patients experienced infections after receiving silicone or Gelfilm implants for orbital floor repair.
  • Infections arose from various sources including dental procedures, respiratory infections, and drug use.
  • Implant removal was necessary in all cases due to infection or abscess formation.

Findings:

  • Commonly identified pathogens included Staphylococcus aureus, S. epidermidis, Serratia marcescens, and Pseudomonas aeruginosa.
  • Severe cicatricial ectropion of the lower eyelid was a significant complication in three patients.

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  • Globe position remained unaffected post-implant removal, even years later.
  • Implications:

    • Establishes guidelines for preventing and managing orbital implant infections.
    • Highlights the importance of sterile techniques and patient monitoring post-surgery.
    • Demonstrates that implant removal does not necessarily compromise ocular position.