Scleral Shield: Primary Results of a New Surgical Technique in Augmenting Porous Orbital Implant Protection
| Autor: | Rania A. Ahmed, Tamer I. Gawdat |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Ophthalmologic Surgical Procedures Porous orbital implant Prosthesis Implantation Young Adult Postoperative Complications Orbital implant medicine Humans Prospective Studies Foreign Bodies Evisceration (ophthalmology) Aged business.industry Suture Techniques Capsule General Medicine Middle Aged Sclera Surgery Ophthalmology medicine.anatomical_structure Female Implant Polyethylenes Patch graft business Porosity Eye Evisceration Orbital Implants |
| Zdroj: | European Journal of Ophthalmology. 24:948-952 |
| ISSN: | 1724-6016 1120-6721 |
| DOI: | 10.5301/ejo.5000469 |
| Popis: | Purpose To evaluate the value of using an additional scleral shield in providing further protection of inserted Medpor® implants in eviscerated globes. Methods This was a prospective interventional case series that included 30 patients with blind and/ or disfiguring globe that warranted evisceration. Cases with intraocular masses, retained intraocular foreign bodies, as well as secondary ball implantation were excluded. All patients underwent regular evisceration with porous polyethylene ball (Medpor®) implantation. The sutured wound was further covered by scleral patch graft followed by closure of Tenon capsule and conjunctiva in separate layers. Patients were evaluated for implant exposure and all of them completed at least 4 years of follow-up. Results The study involved 26 male and 4 female participants with age ranging from 16 to 65 years (mean 40.74 ± 15.86 years). The Medpor sizes varied from 16 to 22 mm in diameter. It is a simple extra step with no reported exposure, infection, or granulomas during the 4 years of follow-up. Conclusions Scleral shield is a simple surgical technique that provides an extra layer of autogenous tissue to cover inserted orbital implant following evisceration with promising results in preventing their exposure. |
| Databáze: | OpenAIRE |
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