title: Enduragen patch grafts for exposed orbital implants.
abstract: OBJECTIVE
  To present a new technique using the recently introduced Enduragen(®) material (Tissue Science Laboratories) as a patch graft for exposed ocular implants.
  
  
  METHODS
  A retrospective, interventional, non-comparative case series of 3 patients who had Enduragen patch grafts for the closure of Tenon's capsule and conjunctiva over exposed ocular implants. Medical records were reviewed and the following parameters were collected: age, gender, indication for surgery, type of surgery, laterality, type of orbital implant, complications after repair and length of follow-up.
  
  
  RESULTS
  Three patients were identified, 2 males and 1 female. One patient had a secondary quad-motility implant with supertemporal exposure. The second patient had a secondary implant with a fistula at the lateral aspect of the socket. The third patient had a centrally exposed primary hydroxyapatite implant. All patients received Enduragen patch grafts to cover the implant. Follow up ranged from 40 to 43 months (mean, 41.3 months; SD, ± 1.5). None of the 3 patients had any signs of implant re-exposure at the time of the last post-operative visit. There were no intra-operative or early complications observed.
  
  
  CONCLUSIONS
  This consecutive case series suggests that Enduragen could be used as a safe and effective patch graft for exposed ocular implants. However, a larger prospective study with longer follow-up would be useful in further defining the indications and limitations of the Enduragen patch graft for the treatment of exposed orbital implants.
authors: University of Utah Moran Eye Center, Salt Lake City, UT, USA. albertyapowu@gmail.com
authors: Albert Y
authors: AY
authors: Wu
authors: M Reza
authors: MR
authors: Vagefi
authors: Dan
authors: D
authors: Georgescu
authors: John R
authors: JR
authors: Burroughs
authors: Richard L
authors: RL
authors: Anderson
mesh_terms: D000328:Adult; D001684:Biological Dressings; D003228:Conjunctiva / Q000601:surgery; D015353:Eye Enucleation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D020273:Orbital Implants; D011183:Postoperative Complications; D012189:Retrospective Studies; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery*; D058475:Tenon Capsule / Q000601:surgery