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Evisceration with four anterior relaxing incisions and circumferential posterior sclerotomies with porous polyethylene orbital implants: an 8-year study.
MedLine Citation:
PMID:  20074289     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose:  To present long-term follow-up data on eviscerations carried out with scleral modification and placement of spherical porous polyethylene implants. Methods:  We conducted a retrospective, interventional study on eviscerations performed with four anterior relaxing incisions and posterior sclerotomies made circumferentially behind the equator at approximately 330° and placement of porous polyethylene spherical implant, performed between March 2000 and August 2007 by a single surgeon. Patient age, sex, causative diagnosis, axial length, implant size, follow-up duration, complications and treatment were recorded. Results:  In total, 92 patients were identified. The mean implant size was 19.46 mm. During the follow-up period (mean: 60 months, range: 19-107 months), there were no cases of implant exposure. In some patients, mild discharge, ptosis and conjunctival cysts developed. Conclusions:  Primary evisceration with four anterior relaxing incisions and posterior sclerotomies made circumferentially behind the equator at approximately 330°, combined with porous polyethylene orbital implant placement, is a useful technique for treating a variety of end-stage eye diseases.
Authors:
Kyun-Hyung Kim; Hwa Lee; Minsoo Park; Mi Chung Chi; Jongmi Lee; Sehyun Baek
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Publication Detail:
Type:  Journal Article     Date:  2010-01-14
Journal Detail:
Title:  Acta ophthalmologica     Volume:  89     ISSN:  1755-3768     ISO Abbreviation:  Acta Ophthalmol     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101468102     Medline TA:  Acta Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  686-90     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Journal compilation © 2010 Acta Ophthalmol.
Affiliation:
Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea Kong Eye Medical Center, Seoul, Korea.
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