Myoconjunctival enucleation for enhanced implant motility. result of a randomised prospective study.
OBJECTIVE
Implant motility and cosmetic appearance of the eye after enucleation have remained major considerations whenever mycoconjunctival enucleation is planned. Despite major advances in surgical technique and the availability of a variety of implant materials and shapes, there is lack of consensus on the best material and type of implant. This study was conducted to compare routine and myoconjunctival techniques of enucleation in terms of motility index.


METHODS
Thirty consecutive patients scheduled for enucleation for non-malignant indications were randomly assigned to one of the two groups- routine and myoconjunctival techniques. The postoperative results were compared for the motility of implant and the complications.


RESULTS
The two techniques showed no difference in rates of complications, but implant motility was significantly better with the myoconjunctival technique. Implant extrusion or migration was not seen.


CONCLUSIONS
We recommend the use of myoconjunctival enucleation for enhanced motility and cosmesis.
Yadava
Usha
U
Maulana Azad Medical College and allied Guru Nanak Eye Centre, New Delhi, India. yadavau@yahoo.com
Sachdeva
Pankaj
P
Arora
Vivek
V
D003228:Conjunctiva / Q000601:surgery*; D015353:Eye Enucleation / Q000379:methods*; D005137:Eye, Artificial; D006801:Humans; D009801:Oculomotor Muscles / Q000503:physiopathology* / Q000601:surgery*; D011446:Prospective Studies