A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following Evisceration
Objective : This present study was undertaken to assess the outcome of Mules PMMA orbital implant following evisceration. Study Design: Interventional study Study setting: Department of Ophthalmology, S.V.R.R.G.G. Hospital, Tirupati, Andhra Pradesh, India. Materials and Methods : Modified technique...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-07-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.7869/djo.238 |
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| Summary: | Objective :
This present study was undertaken to assess the outcome of Mules PMMA orbital implant following evisceration.
Study Design:
Interventional study
Study setting:
Department of Ophthalmology, S.V.R.R.G.G. Hospital, Tirupati, Andhra Pradesh, India.
Materials and Methods :
Modified technique of evisceration with anterior sclerotomy and double breasting of sclera along with primary placement of PMMA orbital implant was performed in 35 consecutive patients who presented with various causes of painful blind eye. The postoperative performance of the implant was assessed in terms of volume replacement, motility, extrusion rates and other complications.
Results:
In the present study, degree of volume replacement was found to be good in 13 patients and fair in 22 patients. 24 of the 35 patients had a good movement of prosthesis (>20 degrees of horizontal movement) and 11 patients had fair motility(10 to 20 degrees). Extrusion rate was nil.
Conclusions:
Evisceration with modified technique followed in the present study minimised the extrusion rates of PMMA implants with successful retention of the implant. In conclusion, evisceration with PMMA orbital implant can be an effective treatmentfor painful blind eyes with excellent postoperative outcome. |
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| ISSN: | 0972-0200 2454-2784 |