Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration

被引：0
|
作者：
Moore, Nicholas A. [1 ]
Fu, Roxana [1 ,2 ]
Clark, Jeremy [2 ]
Prendes, Mark [1 ,3 ,4 ]
Nunery, William R. [1 ,2 ,3 ,4 ]
Burgett, Richard A. [1 ,5 ]
Lee, H. B. Harold [1 ,2 ,3 ,4 ]
机构：
[1] Indiana Univ, Sch Med, Dept Ophthalmol, 1160 W Michigan St, Indianapolis, IN 46202 USA
[2] Univ Louisville, Dept Ophthalmol & Visual Sci, Kentucky Lions Eye Ctr, Louisville, KY 40292 USA
[3] Oculofacial Plast & Orbital Surg, Indianapolis, IN USA
[4] St Vincent Hosp, Indianapolis, IN USA
[5] Midwest Eye Inst, Indianapolis, IN USA
来源：
ORBIT-THE INTERNATIONAL JOURNAL ON ORBITAL DISORDERS-OCULOPLASTIC AND LACRIMAL SURGERY | 2019年 / 38卷 / 04期
关键词：
Evisceration; extrusion; silicone implant; surgical technique; ANOPHTHALMIC SOCKET; EXPOSURE; ENUCLEATION; COMPLICATIONS;
D O I：
10.1080/01676830.2018.1537288
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose: The anterior vestibule salvaging ('Birdcage') technique may limit orbital implant extrusion following evisceration. Methods: A 10-year retrospective chart review from 2005 to 2015 of individuals who underwent evisceration procedures utilizing the vestibule salvaging technique was performed. Results: A total of 96 patients (61 male; 35 female; average age 64 years; range 17-96 years) underwent evisceration with a technique avoiding anterior scleral relaxing incisions. Three (3.1%) patients had documented extrusion of the silicone implant. Time from evisceration to extrusion ranged from 26 to 372 days. Conclusions: Maintenance of the anterior scleral vestibule during evisceration may decrease extrusion rates after surgery compared with traditional evisceration techniques that utilize anterior relaxing incisions.
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收藏
页码：318 / 321
页数：4
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