Secondary orbital implants after evisceration: a new conjunctiva-sparing technique.
OBJECTIVE
To describe a new conjunctiva-sparing technique for secondary orbital implantation after evisceration.


METHODS
Two patients with conjunctival cicatrization and a volume-deficient anophthalmic socket had implantation of an intraconal biointegratable implant. This was placed through a lateral canthal approach, after temporary disinsertion of the lateral rectus, thereby avoiding further injury to the conjunctiva.


RESULTS
A good surgical outcome was achieved in both patients. There were no intraoperative or postoperative complications, and both have remained stable for nearly 2 years.


CONCLUSIONS
Secondary intraconal implantation through the lateral canthal approach is safe and effective and suitable for patients in whom it is desirable to avoid a conjunctival incision.
Hart
Richard H
RH
Eye Department, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-Upon-Tyne, United Kingdom.
Barnes
Eric
E
Dickinson
A Jane
AJ
D000328:Adult; D003228:Conjunctiva / Q000601:surgery*; D003229:Conjunctival Diseases / Q000601:surgery; D017234:Eye Evisceration; D006801:Humans; D007431:Intraoperative Complications; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D009915:Orbit / Q000473:pathology / Q000601:surgery*; D020273:Orbital Implants; D011183:Postoperative Complications; D019919:Prosthesis Implantation / Q000379:methods*