title: Donor sclera-wrapped acrylic orbital implants following enucleation: experience in 179 patients in the Netherlands.
abstract: OBJECTIVE
  To report the postoperative results after enucleation of using an acrylic orbital implant covered in donor sclera for implantation.
  
  
  METHODS
  We retrospectively analysed the charts of patients who were enucleated between 2007 and 2011. Only patients who received an acrylic implant covered with donor sclera were included.
  
  
  RESULTS
  A total of 179 patients were included in our analysis. About 15.6% experienced postoperative problems of which the majority were related to the position of the eyelid. Only one patient (0.6%) had an exposure of the orbital implant.
  
  
  CONCLUSIONS
  Placing an acrylic orbital implant covered with donor sclera is a safe and effective method for reconstruction after enucleation.
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Henri P
authors.initials: HP
authors.lastname: Jongman
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Marina
authors.initials: M
authors.lastname: Marinkovic
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Irene
authors.initials: I
authors.lastname: Notting
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Leonoor
authors.initials: L
authors.lastname: Koetsier
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Wouter
authors.initials: W
authors.lastname: Swart
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Nicoline E
authors.initials: NE
authors.lastname: Schalij-Delfos
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Jaco
authors.initials: J
authors.lastname: Bleeker
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Martine J
authors.initials: MJ
authors.lastname: Jager
authors.affiliation: Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Gregorius P M
authors.initials: GP
authors.lastname: Luyten
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D020099:Coated Materials, Biocompatible; D015353:Eye Enucleation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020273:Orbital Implants; D019904:Polymethyl Methacrylate; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D012590:Sclera; D014019:Tissue Donors
chemical_list: D020099:Coated Materials, Biocompatible; D019904:Polymethyl Methacrylate
keywords: complications; donor sclera; enucleation; orbital implant