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Evisceration with four anterior relaxing incisions and circumferential posterior sclerotomies with porous polyethylene orbital implants: an 8‐year study
Author(s) -
Kim KyunHyung,
Lee Hwa,
Park Minsoo,
Chi Mi chung,
Lee Jongmi,
Baek Sehyun
Publication year - 2011
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.01825.x
Subject(s) - evisceration (ophthalmology) , medicine , implant , ophthalmology , sclera , surgery , pathology , alternative medicine
. Purpose: To present long‐term follow‐up data on eviscerations carried out with scleral modification and placement of spherical porous polyethylene implants. Methods: We conducted a retrospective, interventional study on eviscerations performed with four anterior relaxing incisions and posterior sclerotomies made circumferentially behind the equator at approximately 330° and placement of porous polyethylene spherical implant, performed between March 2000 and August 2007 by a single surgeon. Patient age, sex, causative diagnosis, axial length, implant size, follow‐up duration, complications and treatment were recorded. Results: In total, 92 patients were identified. The mean implant size was 19.46 mm. During the follow‐up period (mean: 60 months, range: 19–107 months), there were no cases of implant exposure. In some patients, mild discharge, ptosis and conjunctival cysts developed. Conclusions: Primary evisceration with four anterior relaxing incisions and posterior sclerotomies made circumferentially behind the equator at approximately 330°, combined with porous polyethylene orbital implant placement, is a useful technique for treating a variety of end‐stage eye diseases.