title: Four petals evisceration for atrophia bulbi.
abstract: OBJECTIVE
  To study the use of four petals evisceration in atrophia bulbi to allow insertion of large orbital implant.
  
  
  METHODS
  An interventional case series. All cases were atrophia bulbi. The axial lengths (AL) of atrophic and contralateral normal eye were measured. It was planned to use implant 3 mm smaller than AL of the contralateral normal eye. Four petals evisceration was used in all cases.
  
  
  RESULTS
  Twenty cases were included. The mean age was 27.08 ± 16.07 years. The mean axial length (AL) of atrophic eyes was 16.97 ± 1.42 mm. In 75% of cases, the planned implant was inserted. In all cases, the implant diameter was larger than AL of atrophic eye by a mean of 2.57 ± 0.64 mm. The AL of atrophic eye did not affect the implant size. The mean follow-up period was 22.4 ± 10.1 months. Implant exposure was not recorded in any case. Volume deficiency was recorded in 2 cases (10%).
  
  
  CONCLUSIONS
  Four petals evisceration facilitated the use of suitable sized implant in atrophia bulbi with minimal complications.
authors.affiliation: Department of Ophthalmology, Oculoplastic Unit, Faculty of Medicine, Tanta University, Tanta, Egypt.
authors.forename: Molham A
authors.initials: MA
authors.lastname: Elbakary
mesh_terms: D000293:Adolescent; D000328:Adult; D001284:Atrophy; D002648:Child; D005123:Eye / Q000473:pathology*; D017234:Eye Evisceration / Q000379:methods*; D005133:Eye Movements; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D019919:Prosthesis Implantation
keywords: Atrophia Bulbi; Evisceration; Scleral Modification