Evisceration with four anterior relaxing incisions and circumferential posterior sclerotomies with porous polyethylene orbital implants: an 8-year study.
OBJECTIVE
To present long-term follow-up data on eviscerations carried out with scleral modification and placement of spherical porous polyethylene implants.


METHODS
We conducted a retrospective, interventional study on eviscerations performed with four anterior relaxing incisions and posterior sclerotomies made circumferentially behind the equator at approximately 330° and placement of porous polyethylene spherical implant, performed between March 2000 and August 2007 by a single surgeon. Patient age, sex, causative diagnosis, axial length, implant size, follow-up duration, complications and treatment were recorded.


RESULTS
In total, 92 patients were identified. The mean implant size was 19.46 mm. During the follow-up period (mean: 60 months, range: 19-107 months), there were no cases of implant exposure. In some patients, mild discharge, ptosis and conjunctival cysts developed.


CONCLUSIONS
Primary evisceration with four anterior relaxing incisions and posterior sclerotomies made circumferentially behind the equator at approximately 330°, combined with porous polyethylene orbital implant placement, is a useful technique for treating a variety of end-stage eye diseases.
Kim
Kyun-Hyung
KH
Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea.
Lee
Hwa
H
Park
Minsoo
M
Chi
Mi chung
Mc
Lee
Jongmi
J
Baek
Sehyun
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D002648:Child; D017234:Eye Evisceration / Q000379:methods*; D005137:Eye, Artificial; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D011095:Polyethylenes; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D012599:Sclerostomy; D055815:Young Adult
D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes