The use of autogenous sclera as wrapping material in hydroxyapatite implantation.
OBJECTIVE
To report postoperative results and effectiveness using autogenous sclera as a wrapping material for hydroxyapatite orbital implant.


METHODS
A chart review of 78 patients (78 eyes) undergoing primary enucleation or a secondary procedure using autogenous sclera as a wrapping material from March 1997 to October 2004 was undertaken. Primary enucleation was performed in 54 eyes and secondary implantation in 24. In severely constricted eyes or eviscerated eyes with small implants, the sclera was unfolded and used for wrapping only on the anterior surface of the implant.


RESULTS
The average size of implants was 19.7 mm in diameter, and all the 78 implants were over 18 mm. During an average postoperative follow-up of 18 months, complications such as implant exposure, infection or extrusion did not occur in any case.


CONCLUSIONS
This study shows that autogenous sclera is a safe, effective wrapping material for hydroxyapatite orbital implants with no serious complications.
Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
Jin Sook
JS
Yoon
Helen
H
Lew
Koung Hoon
KH
Kook
Sang Yeul
SY
Lee
D000293:Adolescent; D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D002648:Child; D002675:Child, Preschool; D020099:Coated Materials, Biocompatible; D017886:Durapatite; D005123:Eye / Q000000981:diagnostic imaging; D005128:Eye Diseases / Q000601:surgery; D015353:Eye Enucleation; D005131:Eye Injuries / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects; D020273:Orbital Implants; D011300:Preoperative Care; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D020858:Tissue and Organ Harvesting; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography; D055815:Young Adult
D001672:Biocompatible Materials; D020099:Coated Materials, Biocompatible; D017886:Durapatite