International Journal of Advanced and Integrated Medical Sciences

Register      Login

VOLUME 2 , ISSUE 1 ( January-March, 2017 ) > List of Articles

CASE REPORT

An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis

A Dokania, Y Rizvi, Surabhi Sinha

Citation Information : Dokania A, Rizvi Y, Sinha S. An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis. Int J Adv Integ Med Sci 2017; 2 (1):47-50.

DOI: 10.5005/jp-journals-10050-10074

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Purpose

To highlight monofilament polypropylene surgical mesh commonly used for herniorrhaphy as an alternative implant wrapping for achieving augmented implant volume and enabling easier extraocular muscle attachment in postenucleation reconstruction of artificial eye.

Materials and methods

Following enucleation of a nonfunctional eye in a patient who met with a road traffic accident, a 14 mm hydroxyapatite ball was used to replace the globe. The ball was wrapped with a monofilament polypropylene surgical mesh used in herniorrhaphy and sutured. The patient achieved a satisfactory cosmesis and movements of the implant for different gazes. No ocular discomfort or implant extrusion was reported following 6 months of follow-up.

Conclusion

Monofilament polypropylene mesh can be used safely as an orbital implant wrapping, economizing the implant cost.

How to cite this article

Sinha S, Rizvi Y, Dokania A. An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis. Int J Adv Integ Med Sci 2017;2(1):47-50.


PDF Share
  1. Porous polyethylene (Medpor) orbital implant. Prospective study of 75 primary implantations. J Fr Ophtalmol 2001 Dec;24(10):1067-1073.
  2. Enucleation with unwrapped porous and nonporous orbital implants: a 15-year experience. Ophthal Plast Reconstr Surg 2005 Sep;21(5):331-336.
  3. A study of the hydroxyapatite orbital implant drilling procedure. Eye (Lond) 1998;12(Pt 1):37-42.
  4. Hydroxyapatite orbital implant vascularization assessed by magnetic resonance imaging. Ophthal Plast Reconstr Surg 2003 Jan;19(1):46-52.
  5. Complications associated with pegging hydroxyapatite orbital implants. Ophthalmology 1999 Mar;106(3):505-512.
  6. Complications of motility peg placement for porous hydroxyapatite orbital implants. Br J Ophthalmol 2002 Apr;86(4):394-396.
  7. The ideal ocular prosthesis: analysis of prosthetic volume. Ophthal Plast Reconstr Surg 2000 Sep;16(5):388-392.
  8. Bovine pericardium versus homologous sclera as a wrapping for hydroxyapatite orbital implants. Ophthal Plast Reconstr Surg 2003 May;19(3):189-193.
  9. The use of Vicryl mesh in 200 porous orbital implants: a technique with few exposures. Ophthal Plast Reconstr Surg 2003 Jan;19(1):53-61.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.