title: Extrusion of enucleation implants: treatment with secondary implants and autogenous temporalis fascia or fascia lata patch grafts.
abstract: We performed one autogenous fascia lata graft and 11 autogenous temporalis fascia grafts in eight patients with extrusion of an orbital enucleation implant and in four patients with a bulging implant who could not wear a prosthesis. Excluding one patient with inadequate follow up, 10 of the 11 patients (91%) successfully retained their implant. One patient had severe conjunctivitis followed by anterior migration of his implant 2 1/2 years after patch grafting, necessitating replacement of the implant. We conclude that autogenous temporalis fascia patch grafting is an effective treatment for orbital enucleation implant extrusion or a bulging implant.
authors.affiliation: Department of Ophthalmology, University of Colorado Medical Center, Denver.
authors.forename: E O
authors.initials: EO
authors.lastname: Wiggs
authors.forename: B B
authors.initials: BB
authors.lastname: Becker
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D015353:Eye Enucleation; D005137:Eye, Artificial; D005205:Fascia / Q000637:transplantation*; D005206:Fascia Lata / Q000637:transplantation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation; D012826:Silicone Elastomers; D014182:Transplantation, Autologous
chemical_list: D012826:Silicone Elastomers