A Single- Versus Double-Layered Closure Technique in Anophthalmic Surgery

Jennifer S N Verhoekx, Anina Rengifo Coolman, Win Hou Willy Tse, Dion Paridaens

Research output: Contribution to journalArticleResearchpeer-review

Abstract

PURPOSE: To compare the frequency of orbital implant exposure and extrusion following eye removal with a simplified closure technique, closing Tenon's capsule and conjunctiva in 1 layer versus the classic technique of closure in 2 separate layers.

METHODS: The authors conducted a retrospective case note review of patients who underwent evisceration or enucleation treated by 1 surgeon between 2001 and 2013. Between 2001 and 2004, Tenon's capsule and conjunctiva were closed in separate layers; after 2004, a simplified 1-layer closure following eye removal was used. The primary outcome parameters were presence or absence of implant exposure or extrusion.

RESULTS: One hundred fifty-seven patients who underwent evisceration and 172 patients who underwent enucleation were included. Following evisceration, 2.5% developed exposure or extrusion of the implant, this was 2.5% in the 1-layer closure technique and 2.7% in the 2-layer closure technique (p = 0.95). Following enucleation, 1.7% developed exposure or extrusion of the implant, this was 1.8% in the 1-layer closure technique and 1.7% in the 2-layer closure technique (p = 0.96). Overall implant exposure and extrusion was 2.1%, this was 2.2% in the 1-layer closure technique and 2.1% in the 2-layer closure technique (p = 0.96).

CONCLUSIONS: No difference was found in the frequency of spheric acrylic implant exposure or extrusion in patients who underwent eye removal with single-layer closure of Tenon's capsule and conjunctiva compared with patients treated with separate closure of these layers.

Original languageEnglish
Pages (from-to)329-333
Number of pages5
JournalOphthalmic Plastic and Reconstructive Surgery
Volume33
Issue number5
DOIs
Publication statusPublished - Sep 2017

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Anophthalmos/surgery
  • Female
  • Follow-Up Studies
  • Forecasting
  • Humans
  • Male
  • Middle Aged
  • Orbit/surgery
  • Orbital Implants
  • Retrospective Studies
  • Suture Techniques/instrumentation
  • Sutures
  • Treatment Outcome
  • Wound Closure Techniques
  • Young Adult

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