title: [Method of implant insertion in anophthalmic socket].
abstract: The method of extraocular muscles fixation is presented, it consist in direct fixation to alloplant according to their physiological attachment to ensure stump movement after enucleation. A total of 54 patients aged 26-82 years were treated. Primary enucleation was performed in 46 patients and 8 patients were previously treated with brachytherapy. Surgery was performed under general anesthesia using microsurgical technique. After alloplant was fixed to the anterior surface of tenon's capsule a running suture was put horizontally and conjunctival suture had vertical orientation. A pressure dressing was applied for 2-3 days. Generally there were no technical difficulties, but in patients after brachytherapy separation of muscles and tenon's capsule was complicated because of scarring in the site of previous radiation.
authors.forename: A F
authors.initials: AF
authors.lastname: Brovkina
authors.forename: A S
authors.initials: AS
authors.lastname: Stoiukhina
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000853:Anophthalmos / Q000209:etiology / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery*; D015353:Eye Enucleation; D005137:Eye, Artificial; D005500:Follow-Up Studies; D006801:Humans; D008545:Melanoma / Q000532:radiotherapy / Q000601:surgery; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods*; D013536:Suture Techniques; D058475:Tenon Capsule / Q000601:surgery*; D016896:Treatment Outcome; D014604:Uveal Neoplasms / Q000532:radiotherapy / Q000601:surgery; D000098943:Uveal Melanoma