Abstract

We evaluated the long-term results of Mersilene mesh application in 72 patients with various ophthalmic disorders. Mersilene mesh was used as a cover material for primary and secondary orbital implantation, as a sling material for the upper and lower lids, and as a spacer material for lid retraction. The postoperative follow-up period ranged from 15 to 62 months (average 43.21±12.8). Orbital implant exposure developed in 10 of 35 cases who had undergone enucleation and primary orbital implantation. Sphere exposure developed in one of 18 cases who had undergone secondary orbital implantation. We used Mersilene mesh as a frontalis sling material in 19 ptotic lids of 15 cases. Suture granuloma developed in 3 cases, and in 2 cases we observed Mersilene mesh extrusion associated with chronic discharge near the free edge of the lid. When used as a spacer material in lid retraction surgery, Mersilene mesh extruded through the conjunctiva of both lower lids in one of three cases. These long-term results indicate that Mersilene mesh is not an ideal material and further studies should be carried out in order to find new alternatives.

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