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Covering enucleation implants with donor sclera proves successful

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Using donor sclera to cover porous and nonporous enucleation implants is a successful technique that causes few complications, according to a recent study.

Philip L. Custer, MD, and Sharon McCaffery, MD, performed a retrospective case study of 207 patients who received enucleation implants covered by donor sclera. There were 112 nonporous implants and 95 porous implants.

Of the eyes implanted, 3 had to be removed due to primary exposure, secondary exposure and postoperative pain. Postoperative tarsorrhaphies were needed to control chemosis in 2 patients, and 31% of patients receiving porous implants showed asymptomatic implant rotation.

Though the results show the efficacy of the procedure, “The potential benefits of this technique must be balanced by the increased cost of the wrapping material and the rare but potential risk of transmitting infectious disease,” the study authors said.

The study is published in the July/August issue of Ophthalmic Plastic and Reconstructive Surgery.