title: Remove, rotate, and reimplant: a novel technique for the management of exposed porous anophthalmic implants in eviscerated patients.
abstract: OBJECTIVE
  To describe and to evaluate a new and relatively easy technique for porous implant exposure repair.
  
  
  METHODS
  Eleven patients with exposed porous orbital implants after evisceration were included in this study. Five patients with large exposures (diameter >7 mm) and six patients with small exposures of orbital implants (diameter <7 mm) that persisted despite posterior vaulting of the prosthesis and usage of antibiotics and steroids for more than 6 weeks, underwent revision surgery with the remove-rotate-reimplant technique (3R technique). Negative microbiological culture taken from the exposed socket surface before surgery was the major inclusion criterion. Five patients with insufficient conjunctival tissue also underwent additional mucosa or hard palate grafting of the defect in addition to the remove-rotate-reimplant procedure.
  
  
  RESULTS
  Patients have been followed up for more than 18 months (ranging from 18-30 months). None of them received motility peg insertion after repair. Implant reexposure was detected in one patient during the follow-up period, which was managed by dermis fat grafting with implant removal.
  
  
  CONCLUSIONS
  The remove-rotate-reimplant technique is an effective surgical method for repairing exposed porous anophthalmic implants after evisceration with a 90% success in this study. It avoids the removal of the implant from the sclera, which is a traumatic procedure that may lead to the tearing and loss of scleral tissue covering the implant. Saving the porous implant and scleral cover reduces the surgical time and cost.
authors: Department of Ophthalmic Plastic and Reconstructive Surgery, Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.
authors: P
authors: P
authors: Kaynak
authors: Department of Ophthalmic Plastic and Reconstructive Surgery, Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.
authors: G O
authors: GO
authors: Karabulut
authors: Department of Ophthalmic Plastic and Reconstructive Surgery, Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.
authors: C
authors: C
authors: Ozturker
authors: Department of Ophthalmology, Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.
authors: I
authors: I
authors: Perente
authors: Department of Ophthalmology, Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.
authors: B
authors: B
authors: Gökyiǧit
authors: 1] Department of Ophthalmology, Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey [2] Medeniyet University Faculty of Medicine, Department of Ophthalmology, Istanbul, Turkey.
authors: A
authors: A
authors: Demirok
authors: Department of Ophthalmology, Istanbul Beyoglu Eye Research and Training Hospital, Galata, Istanbul, Turkey.
authors: O F
authors: OF
authors: Yilmaz
mesh_terms: D000328:Adult; D000853:Anophthalmos / Q000601:surgery; D017234:Eye Evisceration; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D017060:Patient Satisfaction; D019919:Prosthesis Implantation / Q000379:methods*