Modified evisceration technique: Posterior sclerectomy for phthisis bulbi and microphthalmos
What:
Paper Presentation | Présentation d'article
Part of:
When:
2:46 PM, Friday 1 Jun 2018
(6 minutes)
Where:
Metro Toronto Convention Centre (South Building)
- Room 714 A
How:
Author: Gunay Ibrahimzade
Author Disclosure Block: G. Ibrahimzade: None.
Abstract Body:
Purpose: To describe and evaluate the efficacy of primary larged-sized orbital implant placement with evisceration in patients with phthisis bulbi and microphthalmos.
Study Design: interventional study
Methods: Modified technique of evisceration with posterior sclerotomy and autogenous scleral patching with primary placement of silicone orbital implant was performed in 32 consecutive patients who presented with phthisis bulbi and microphthalmos. The postoperative performance of the implant was assessed in terms of volume replacement and motility.
Results: Out of 32 patients, 19 (59,4%) were males and 13 (40,6%) were females. Age ranged from 15 to 47 years with an average of 29.5 years. We reviewed the files and analyzed the data of 23 patients (eyes) with phthisis and 9 patients with microphtalmos who underwent this technique from June 2013 to September 2015. The diameters of the silicone implants were 18 and 20 mm. which was depended on the size of the paired eye.The mean follow up period was 2 years. None of the patients had implant extrusion, exposure or migration. Degree of volume replacement was found to be good in 29 patients and fair in 3 patients. 27 patients had a good motility of prosthesis and 5 patients had fair movement of prosthesis.
Conclusions: Technique of evisceration with posterior sclerectomy was found safe and useful for implantation of larger implants for phthisis bulbi and microphthalmos. Evisceration with modified technique followed in the present study minimized the extrusion rates of silicone orbital implants with successful retention of the implant.
Author Disclosure Block: G. Ibrahimzade: None.
Abstract Body:
Purpose: To describe and evaluate the efficacy of primary larged-sized orbital implant placement with evisceration in patients with phthisis bulbi and microphthalmos.
Study Design: interventional study
Methods: Modified technique of evisceration with posterior sclerotomy and autogenous scleral patching with primary placement of silicone orbital implant was performed in 32 consecutive patients who presented with phthisis bulbi and microphthalmos. The postoperative performance of the implant was assessed in terms of volume replacement and motility.
Results: Out of 32 patients, 19 (59,4%) were males and 13 (40,6%) were females. Age ranged from 15 to 47 years with an average of 29.5 years. We reviewed the files and analyzed the data of 23 patients (eyes) with phthisis and 9 patients with microphtalmos who underwent this technique from June 2013 to September 2015. The diameters of the silicone implants were 18 and 20 mm. which was depended on the size of the paired eye.The mean follow up period was 2 years. None of the patients had implant extrusion, exposure or migration. Degree of volume replacement was found to be good in 29 patients and fair in 3 patients. 27 patients had a good motility of prosthesis and 5 patients had fair movement of prosthesis.
Conclusions: Technique of evisceration with posterior sclerectomy was found safe and useful for implantation of larger implants for phthisis bulbi and microphthalmos. Evisceration with modified technique followed in the present study minimized the extrusion rates of silicone orbital implants with successful retention of the implant.
