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Low rate of exposure seen with unwrapped orbital implants

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The use of unwrapped spherical orbital implants after enucleation was associated with no exposure complications in early follow-up, according to a retrospective study.

Julian D. Perry, MD, and Richard C. Tam, MD, reviewed the charts of all patients who underwent orbital implantation during enucleation surgery over a 4-year period. Mean follow-up was 17 months.

Of the 26 patients who underwent enucleation surgery without wrapping material, 19 received a porous polyethylene implant, five received PMMA implants and two received hydroxyapatite. The mean implant diameter was 21.03 mm. No complications of implant extrusion, exposure, infection or migration were reported.

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