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Two-scleral-flap evisceration technique enables placement of larger orbital implant

Ophthal Plast Reconstr Sur. 2011;27(4):227-231.

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An evisceration technique employing two artificial scleral flaps enables placement of adequately sized orbital implants, with better cosmetic results and fewer complications, according to a study.

Data on 201 patients who underwent the procedure were retrospectively reviewed. Postoperative complications arose in 17 of the patients; 16 patients experienced minor complications and three patients experienced major complications. No cases of postoperative sympathetic ophthalmia or implant extrusion, migration or socket contraction were observed during the follow-up period.

Of the 201 patients, 111 (55.22%) were male and 90 (44.72%) were female. Follow-up time averaged 31.62 months. The mean diameter of the spherical porous implants was 20.38 mm.

"This technique allows a direct wound closure without tension, promotes vascularization and implants integration, minimizing the risk of implant extrusion," the study authors said. It also provides good cosmetic results with a low risk of major complications, according to the authors.