Abstract

The aim of the study was to analyse the rate of complications of orbital endoimplantation in patients operated from 2002 to 2014 at the Eye Clinic of the Lithuanian University of Health Sciences and to compare it with the results in the literature. Enucleation must be performed very carefully in order to prevent any additional trauma, infection, deformation, and to create an optimal conjunctival socket. However, complications occur despite efforts and qualified surgeons. The most common complications described in the literature are thinning and cysts of the conjunctiva, a foreign body reaction, secretion, symblepharons, fornix deficiency, ptosis, permanent pain, dislocation, migration and protrusion of the implant, a primary or secondary infection, and implant extrusion.From 2002 to 2014, 128 patients underwent orbital endoimplantation surgery at the Eye Clinic. The most common complications were conjunctival erosion (five patients, or 2.9%), cysts (nine patients, or 7%), and implant extrusion (five patients, or 2.9%). The type and rate of complications were very similar to the data in the literature.

Highlights

  • An implant is a medical device, which is grown into the human body to replace a malfunctioning or missing part of the body or tissue, or to make their function more adequate

  • This paper is about endoimplantation of the anophthalmic orbit

  • Primary and secondary orbital endoimplantation was performed on 111 patients (86.7%) and 17 patients (13.2%), respectively

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Summary

Introduction

An implant is a medical device, which is grown into the human body to replace a malfunctioning or missing part of the body or tissue, or to make their function more adequate. This paper is about endoimplantation of the anophthalmic orbit The purpose of this procedure is to restore the orbital volume, to save the function of extra-ocular muscles, to improve the motility of the artificial eye, and to minimize the symptoms of the post-enucleation socket syndrome (PESS). The removal of the eyeball must be performed very carefully in order to avoid any unnecessary trauma, infection, deformation, or other complications and to create the optimal conjunctival sac. Despite the mo-st favourable conditions and qualified surgeons, the possibility of complications still remains [2,3,4,5,6,7,8, 11, 24]

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