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Related Experiment Videos

Tarsal patch-flap for orbital implant exposure

C N Soparkar1, J R Patrinely

  • 1Department of Ophthalmology, University of Massachusetts Medical Center, Worcester 01655, USA.

Ophthalmic Plastic and Reconstructive Surgery
|December 8, 1998
PubMed
Summary

The tarsal patch-flap effectively treats recurrent orbital implant exposure after eye removal surgery. This surgical technique successfully closed defects in all patients, offering a lasting solution.

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Area of Science:

  • Ophthalmology
  • Oculoplastic Surgery
  • Reconstructive Surgery

Background:

  • Orbital implant exposure is a complication following enucleation or evisceration.
  • Recalcitrant cases often fail conventional surgical repair methods.
  • Existing treatments like Tenon-conjunctival advancement and fascia grafting have limitations.

Purpose of the Study:

  • To evaluate the efficacy of the tarsal patch-flap technique.
  • To assess its use in managing persistent orbital implant exposures.
  • To determine its success rate in patients refractory to other surgical interventions.

Main Methods:

  • A tarsal patch-flap, a fornix-based tarsoconjunctival flap from the upper eyelid, was employed.
  • Eight patients with recurrent orbital implant exposures, failing prior closure attempts, were treated.

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  • The study included patients with porous polyethylene and hydroxyapatite implants.

    • Main Results:

    • All eight patients achieved defect closure with the tarsal patch-flap.
    • The mean follow-up period was 13.8 months, with a range of 4-30 months.
    • No recurrences of exposure were noted during the follow-up period.

    Conclusions:

    • The vascularized tarsal patch-flap is a highly effective surgical option.
    • It provides a reliable alternative for managing complex orbital implant exposures.
    • This technique demonstrates significant success in recalcitrant cases unresponsive to other methods.