The porous polyethylene/bioglass spherical orbital implant: a retrospective study of 170 cases.
OBJECTIVE
To report patient outcomes after placement of porous polyethylene (PPE)/bioglass (BG) orbital implants for primary enucleation or secondary implantation.


METHODS
Retrospective chart review in one surgeon's practice (J.D.N.).


METHODS
A chart review of all patients who underwent placement of PPE/BG orbital implants was performed. Data included patient's age, gender, surgical indication, prior ocular surgery, medical history, procedure performed, implant size, and postoperative complications.


RESULTS
PPE/BG implants were placed in 170 sockets. Seventy-seven patients were women, and 85 were men. One hundred forty patients underwent primary enucleation and placement of an implant, and 22 patients underwent secondary implantation. One hundred sixty-one patients did well after orbital implantation with a comfortable socket, quiet conjunctiva, and motility. Complications occurred in 9 patients (5.3%). Excessive discharge alone occurred in 2 patients (1.2%). Seven sockets undergoing primary enucleation and implant placement had implant exposure. One patient had an early exposure, and 6 had late exposures. All exposures were successfully treated with antibiotics or additional surgery. Secondary surgeries were required by some patients, but not due to implant complications, included ectropion repair in 5 patients (2.9%) and volume augmentation in 3 patients (1.7%).


CONCLUSIONS
The PPE/BG orbital implant may be a useful implant for orbital reconstruction after primary enucleation or as a secondary implant.
Ma
Xiaoping
X
Department of Ophthalmology, ZhongShan Hospital affiliated FuDan University, School of Medicine, Shanghai, China.
Schou
Kevin R
KR
Maloney-Schou
Maureen
M
Harwin
Fredric M
FM
Ng
John D
JD
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001672:Biocompatible Materials; D002516:Ceramics; D002648:Child; D002675:Child, Preschool; D015353:Eye Enucleation; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D020273:Orbital Implants; D020959:Polyethylene; D016062:Porosity; D011183:Postoperative Complications; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies
D001672:Biocompatible Materials; C022107:Bioglass; D020959:Polyethylene