title: [Evaluation of results of enucleations with orbital implant in children and adolescents].
abstract: OBJECTIVE
  The aim of the research is the assessment of results of enucleation with orbital implant in children.
  
  
  METHODS
  Examinations included the group of 99 children between 6 months and 19 years of age. The examined group consisted of 39 boys (39.4%) and 60 girls (60.6%). 96 eyes were removed because of non-regressive retinoblastoma (despite applied treatment), two eyes with buphtalmus (with no light perception), as a result of glaucoma, and one case of medulloepithelioma. The applied implants were: Castroviejo--in 28 patients, Medpor--in 24 patients, Hydroxyapatite--46 patients. In one patient was applied Baush and Lomb orbital implant.
  
  
  RESULTS
  In 91 patients (91.9%) no significant complications occurred. In 2 patients (2%), the hemorrhage occurred during the surgery. Postoperative complications included: in 6 patients (6.1%) exposition of orbital implant was observed; in one patient the exposition was enlarging which led to removal of the implant; in 2 patients with implant exposition (2%) inflammatory granuloma occurred on the edge of the exposition. In one patient (1%) cyst of conjunctiva in the postoperative scar area occurred 3 months after operation.
  
  
  CONCLUSIONS
  Enucleation with orbital implant enables normal development of the orbit and improves cosmetic effect. The frequency of complications depends on type of applied orbital implant.
authors.affiliation: Kliniki Okulistyki Instytutu "Pomnik - Centrum Zdrowia Dziecka" w Warszawie.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Hautz
authors.forename: Mirosława
authors.initials: M
authors.lastname: Grałek
authors.forename: Beata
authors.initials: B
authors.lastname: Karczmarewicz
authors.forename: Krystyna
authors.initials: K
authors.lastname: Kanigowska
authors.forename: Dorota
authors.initials: D
authors.lastname: Klimczak-Slaczka
authors.forename: Barbara
authors.initials: B
authors.lastname: Chipczyńska
mesh_terms: D000293:Adolescent; D000328:Adult; D001672:Biocompatible Materials; D002648:Child; D002675:Child, Preschool; D017886:Durapatite; D015353:Eye Enucleation / Q000379:methods*; D005130:Eye Hemorrhage / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006099:Granuloma / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D020273:Orbital Implants / Q000009:adverse effects / Q000145:classification; D011095:Polyethylenes; D019919:Prosthesis Implantation / Q000379:methods; D012175:Retinoblastoma / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes; D017886:Durapatite