Antimicrobial-eluting cement orbital implant: a case report of staged enucleation for infectious panophthalmitis with extraocular extension
| Autor: | Ying Chen, Marissa K Shoji, Kevin D Clauss, Roger E. Turbin, Thomas E. Johnson |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Inflammation or infection
medicine.medical_specialty genetic structures business.industry Enucleation Porous implant equipment and supplies medicine.disease Secondary procedure eye diseases Surgery Ophthalmology medicine.anatomical_structure Orbital implant medicine Panophthalmitis sense organs Implant business Orbit (anatomy) |
| Zdroj: | Orbit. 42:201-205 |
| ISSN: | 1744-5108 0167-6830 |
| Popis: | There are various orbital implant options following enucleation. In cases of severe infection, such as panophthalmitis with extraocular extension, it is reasonable to consider a two-staged approach to decrease the risk of infectious complications. One option, illustrated by this case, is enucleation with insertion of an antimicrobial-eluting cement implant, followed by a secondary procedure to exchange the cement with a permanent orbital implant. We report on a patient with clinical, ultrasound, and radiographical findings consistent with infectious panophthalmitis with extra-scleral extension. Intolerable pain and progressive orbital involvement in a blind eye were the indications for enucleation. To reduce the risk of persistent infection, a gentamycin-eluting cement implant (Palacos® R + G as an intraorbital implant) was utilized in the initial procedure. Two months later, the cement implant was removed, and a scleral-wrapped porous implant was placed into a quiet socket without signs of inflammation or infection. In the setting of severe infection, a two-staged procedure utilizing an antimicrobial-eluting implant can be considered. |
| Databáze: | OpenAIRE |
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