Complications in orbital implant surgery-worthy of mention?

Abstract

Since September, 1981, a technique described by Soll (1972, 1973) and modified by Collin (1983) has been used in the Orbital Centre of Amsterdam: a 16–18 mm silicone ball is implanted in order to cope with the Post Enucleation Socket Syndrome. The authors analyzed their material of the first two years of using this technique. Eight primary and 20 secondary implants were carried out. The results of this retrospective study show that: Primary implants cause less complications than secondary implants; implant diameters of more than 18 mm are quite often the cause of postoperative pain and secondary wound dehiscences; a secondary ptosis or a secondary flat inferior fornix are the main complications of secondary implants but they can be avoided if the technique is used in the right way.