PURPOSE We present clinical results of the use of the multipurpose conical porous synthetic orbital implant (MCOI) in surgical procedures of evisceration, enucleation, and secondary enucleation in ophthalmology patients. METHODS A retrospective review was performed of 59 eyes in which conical implants were used, including 36 cases of eviscerations, 11 enucleations, and 9 secondary enucleation...

purpose: to determine the efficacy of primary placement of a titanium sleeve and peg on hydroxyapatite (ha) orbital implants. methods: this retrospective non-comparative interventional case series was performed on 34 patients undergoing enucleation. a standard enucleation technique with primary ha implantation was performed, in which titanium sleeve and peg were placed primarily during the init...

PURPOSE We describe in our study a modified standard enucleation, using sclera harvested from the enucleated eye to cover the prosthesis in order to insert a large porous implant and to reduce postoperative complication rates in a phthisis globe. METHODS We perform initially a standard enucleation. The porous implant (Bioceramic) is then covered only partially by the patient's sclera. The imp...

BACKGROUND The objective of this article is to evaluate clinical outcomes of combined orbital floor and medial wall fracture repair using a three-dimensional pre-bent titanium implant in an East Asian population. METHODS Clinical and radiologic data were analyzed for 11 patients with concomitant orbital floor and medial wall fractures. A combined transcaruncular and inferior fornix approach w...

A 16-year-old girl was accidentally kicked in her right eye by her cheerleading teammate in an exercise. Upward gaze ability of her right eye was severely impaired and computed tomography (CT) showed a trapdoor fracture of the right orbital floor. After surgical exploration, a silicone implant was inserted. No bleeding was confirmed at this time. The next day, CT detected a hematoma on the righ...

BACKGROUND The surgical placement of orbital implants for eviscerations, enucleations, and secondary implantations can cause severe postoperative pain that may not be relieved with high doses of narcotics. We analyzed the effectiveness of a method for postoperative pain control in orbital implant surgery using an orbital epidural pain catheter connected to a patient-controlled analgesia bupivac...

Purpose: To systematically review the current data to identify the best site for extra-oral implant placement in the orbit. Materials and Methods: Two independent reviewers performed a MEDLINE electronic search using PubMed and Web of Science databases to identify studies published in English from January 2005 until March 2017. A manual search was also performed for additional articles. The met...

The fractures of the orbital floor are common after craniofacial trauma. Repair with resorbable plates is a viable reconstructive option; however, there are few reports in the literature. This study describes our experience using copolymer polylactic and polyglycolic acid (PLLA/PGA) orbital reconstruction plates (LactoSorb, Lorenz Surgical, Jacksonville, FL) in 29 cases of the orbital floor fra...