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 language | English |
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Pages (from-to) | 329-333 |
Number of pages | 5 |
Journal | Ophthalmic Plastic and Reconstructive Surgery |
Volume | 33 |
Issue number | 5 |
DOIs | |
Publication status | Published - Sept 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