title: A modified evisceration technique with scleral quadrisection and porous polyethylene implantation.
abstract: OBJECTIVE
  To propose and evaluate a modified evisceration technique that aiming to minimize the extrusion or exposure and improve motility of the implant.
  
  
  METHODS
  Interventional prospective study.
  
  
  METHODS
  There were 154 patients referred to our clinic from March 1, 2003 to March 1, 2007. All the patients underwent the primary evisceration and implantation of a porous polyethylene implant using the modified technique, which included quadrisecting the sclera, suturing the implant with each rectus muscle through the scleral petal, and then covering the implant with 2 layers of the sclera. Main outcome measures were complications such as conjunctival dehiscence, implant extrusion, implant exposure, significant enophthalmos, superior sulcus deformity or orbital cellulitis, and cosmetic outcome.
  
  
  RESULTS
  All patients received porous polyethylene implants with 18 mm or larger sphere. In a mean 3.5 years follow-up period (range, 1 to 5 years), there was no case of conjunctival dehiscence, implant extrusion, implant exposure, significant enophthalmos, superior sulcus deformity, or orbital cellulitis. The cosmetic appearance and implant mobility were satisfactory.
  
  
  CONCLUSIONS
  This technique appears to be an excellent modification for anophthalmic socket reconstruction.
authors.affiliation: Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. hdp828@yahoo.com.cn
authors.forename: Danping
authors.initials: D
authors.lastname: Huang
authors.forename: Yangyang
authors.initials: Y
authors.lastname: Yu
authors.forename: Rong
authors.initials: R
authors.lastname: Lu
authors.forename: Huasheng
authors.initials: H
authors.lastname: Yang
authors.forename: Jianhao
authors.initials: J
authors.lastname: Cai
mesh_terms: D000293:Adolescent; D000328:Adult; D001672:Biocompatible Materials; D002648:Child; D017234:Eye Evisceration / Q000379:methods*; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D011095:Polyethylenes; D016062:Porosity; D011183:Postoperative Complications; D011446:Prospective Studies; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures; D012590:Sclera / Q000601:surgery*; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes