Abstract
Purpose: To investigate the risks of implant exposure after a combined explant-implant procedure in patients with an exposed porous orbital implant. Methods: Twenty-four consecutive patients who had a combined explant-implant procedure of an exposed hydroxyapatite (21) or porous polyethylene (3) orbital implant from January 2000 to February 2009 were included. The patient records were reviewed; patients were interviewed by telephone and invited for a clinical examination. Histopathological examination was carried out on the removed implants. Main outcome measures were: presence of exposure of the new implant or not, patient graded satisfaction with the cosmetic result, and presence of poor motility. Results: None of the new implants became exposed or infected in the follow-up period of 25 [3-94] months (median [range]). The patients scored their satisfaction with the cosmetic result to a median score of 9 (range 5-10). Poor motility was present in six of 17 patients. Micro-organisms were identified in three removed implants and signs of inflammation were present in 20 removed implants. Conclusions: If a decision of implant removal has been made, it is safe to replace the implant at the same procedure in sockets without profound signs of infection. The procedure carries a possible risk of poor motility.
| Original language | English |
|---|---|
| Journal | Acta Ophthalmologica (Online) |
| Volume | 90 |
| Issue number | 3 |
| Pages (from-to) | 210-4 |
| Number of pages | 5 |
| ISSN | 1755-3768 |
| DOIs | |
| Publication status | Published - May 2012 |
Keywords
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Biocompatible Materials
- Durapatite
- Eye Enucleation
- Eye Evisceration
- Female
- Humans
- Male
- Middle Aged
- Ophthalmologic Surgical Procedures
- Orbit
- Orbital Implants
- Patient Satisfaction
- Polyethylenes
- Postoperative Complications
- Prosthesis Implantation
- Reoperation
- Retrospective Studies
- Risk Factors
- Surgical Wound Dehiscence
- Young Adult