Multipurpose conical orbital implant in evisceration.
OBJECTIVE
To evaluate the safety and efficacy of the porous polyethylene multipurpose conical orbital implant for use in evisceration.


METHODS
A retrospective review of 31 eyes that underwent evisceration and received the multipurpose conical orbital implant. The orbits were evaluated at 1 week, 1 month, and 6 months after final prosthetic fitting for implant exposure, superior sulcus deformity, and prosthetic motility.


RESULTS
There were no cases of extrusion, migration, or infection. All patients had a good cosmetic result after final prosthetic fitting. Prosthetic motility was good in all patients. Exposure developed in one eye (3%) and a superior sulcus deformity developed in one eye (3%).


CONCLUSIONS
Placement of an multipurpose conical orbital implant in conjunction with evisceration is a safe and effective treatment for blind painful eye that achieves good motility and a good cosmetic result.
Marshak
Harry
H
Doheny Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California 90403, USA. hmarshak@aol.com
Dresner
Steven C
SC
D001766:Blindness / Q000601:surgery; D017234:Eye Evisceration; D005137:Eye, Artificial; D006801:Humans; D009915:Orbit / Q000601:surgery*; D020273:Orbital Implants; D020959:Polyethylene; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D013524:Surgical Flaps
D020959:Polyethylene