Primary peg placement in evisceration with the spherical porous polyethylene orbital implant.
OBJECTIVE
To determine the efficacy of primary placement of a motility coupling post (MCP) in evisceration with the porous polyethylene (PP) implant.


METHODS
Retrospective noncomparative, interventional case series.


METHODS
Twenty patients undergoing evisceration.


METHODS
A modified evisceration technique with porous polyethylene implants was performed, in which an MCP was placed primarily during the initial surgery. All patients were observed postoperatively for a minimum of 3 months.


METHODS
Socket motility, final position of the MCP in the orbit, patient satisfaction.


RESULTS
At the last follow-up visit, an acceptable range of motility was attained in all patients. Nineteen patients had a centrally positioned MCP, and all patients were pleased with the cosmetic outcome and the range of motility achieved. Minor complications were noted, including a malpositioned MCP (n = 1) and poor motility in upgaze (n = 8).


CONCLUSIONS
Primary peg placement at the time of evisceration with the PP implant is a promising technique with relatively minor complications so far, but properly constructed studies are required prospectively to compare motility with the MCP versus nonpegged implants.
Tawfik
Hatem A
HA
Department of Ophthalmology, Ain-Shams University, Cairo, Egypt. hatem35@yahoo.com
Dutton
Jonathan J
JJ
D000293:Adolescent; D000328:Adult; D017234:Eye Evisceration / Q000379:methods*; D005133:Eye Movements; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D017060:Patient Satisfaction; D020959:Polyethylene; D016062:Porosity; D011183:Postoperative Complications; D019919:Prosthesis Implantation; D012189:Retrospective Studies
D020959:Polyethylene