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[Primary orbital implant dislocation. A retrospective study]

M Kohlhaas1, A Walter, D Schulz

  • 1Universitäts-Augenklinik Hamburg.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|June 27, 1998
PubMed
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Orbital implants are crucial for compensating volume loss after enucleation. Despite a 7% complication rate, using orbital implants helps prevent post-enucleation syndrome and improves prosthesis motility.

Area of Science:

  • Ophthalmology
  • Ocularistry

Background:

  • Orbital implants are utilized to address the orbital volume deficit following enucleation.
  • This study evaluates the efficacy and complications of various orbital implant types.

Purpose of the Study:

  • To assess the complication rates associated with different orbital implant materials.
  • To determine the necessity of orbital implants for managing post-enucleation syndrome and improving prosthetic motility.

Main Methods:

  • A retrospective analysis of 449 enucleations performed between 1986 and 1996.
  • 155 orbital implants were used, including hydroxylapatite-ceramic-silicon (HAK-silicon), hydroxylapatite-ceramic (HAK), Kiel bone chips, Walser, and Bangerter implants.

Main Results:

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  • Ten orbital implants (6.45%) required explantation.
  • The overall complication rate was 7.29%, with a total loss rate of 3.13%.
  • Seven HAK-silicon implants were explanted, with some successfully replaced.
  • Conclusions:

    • Orbital implants are recommended to prevent post-enucleation syndrome and enhance prosthesis motility.
    • A 7% complication rate was observed across various implant types, highlighting the need for careful selection and management.