ISSN: 1300-0365
İndekslendiği Dizinler: Türk Tıp Dizini
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Results Of Conventional Evisceration With Acrylic Orbital Implant
Dr. Melike BALIKOĞLU,a Dr. Emine MALKOÇ ŞEN,a,b
Dr. Şule GÖKA,a,b Dr. Pınar ÖZDAL,a,b Dr. Esin FIRATa
a1. Göz Kliniği bOkuloplastik Birimi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, ANKARA
Objective: To evaluate results of the acrylic implant in eviscerated eyes.
Material and Methods: Fifty six patients who had an evisceration followed by acrylic implant were evaluated retrospectively. The data including patient demographics, sphere sizes, surgical indications, and complications were analyzed. Of the patients, 5 had phthisis bulbi, 17 glob perforation, 9 neovascular glaucoma, 9 postoperative endophthalmitis, 7 spontaneous perforation, 4 non-phthisical painful eye, 2 phthisis bulbi+glob perforation, 2 glob perforation+postoperative endophthalmitis and 1 had postoperative endophthalmitis+spontaneous perforation. During the postoperative period, patients were considered for sphere motility and complications such as enophthalmos, ptosis, lower eyelid laxity, ectropion, entropion, fornix insufficiency, conjunctivitis, pain, chemosis, irritation, symblepharon, conjuctival dehiscence, pyogenic granuloma, inclusion cyst, socket infection, implant exposure and sympathetic ophthalmia.
Results: None of the patients had lower eyelid laxity, ectropion, entropion, fornix insufficiency, pyogenic granuloma, and sympathetic ophthalmia. Eye movements were satisfactory in all patients. Forty one patients were seen with their cosmetic prothesis at the control. These patients were evaluated for having enophthalmos and ptosis. The following problems were noted: enophthalmos occurred in 17, eyelid edema in 21, chemosis in 24 and >1 mm ptosis in 1 patient. Conjunctivitis occurred in 21, pain in 14, irritation in 3, symblepharon in 5, conjuctival dehiscence in 15, inclusion cyst in 7, socket infection in 3, and implant exposure in 6 patients.
Conclusion: Complications of evisceration with acrylic implant were minimal and could be controlled with medical or surgical treatment and occurred more frequently in patients eviscerated for glob perforation. It was thought that in developing countries like ours acrylic implant should be preferred because of its cheapness, effectiveness and the satisfactory cosmetic results.Keywords: Orbital Implants; orbit evisceration; complicationsTurkiye Klinikleri J Ophthalmol 2007, 16:239-245
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