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: Asma Shaik, Cheedella Subramnayam Sandhya, Challa Jagannath, Murali Dumdum Krishna
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-07-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.238
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author Asma Shaik
Cheedella Subramnayam Sandhya
Challa Jagannath
Murali Dumdum Krishna
author_facet Asma Shaik
Cheedella Subramnayam Sandhya
Challa Jagannath
Murali Dumdum Krishna
author_sort Asma Shaik
collection DOAJ
description 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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publishDate 2017-07-01
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series Delhi Journal of Ophthalmology
spelling doaj-art-c2a46677d9a74b31bdc2ae904dff57272025-08-20T03:11:55ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842017-07-0127317718010.7869/djo.238A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following EviscerationAsma ShaikCheedella Subramnayam SandhyaChalla JagannathMurali Dumdum KrishnaObjective : 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.https://journals.lww.com/10.7869/djo.238eviscerationanterior sclerotomymules pmma orbital implantgood clinical outcome.
spellingShingle Asma Shaik
Cheedella Subramnayam Sandhya
Challa Jagannath
Murali Dumdum Krishna
A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following Evisceration
Delhi Journal of Ophthalmology
evisceration
anterior sclerotomy
mules pmma orbital implant
good clinical outcome.
title A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following Evisceration
title_full A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following Evisceration
title_fullStr A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following Evisceration
title_full_unstemmed A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following Evisceration
title_short A Clinical Study on Outcome of Polymethyl Methacrylate Orbital Implant (Mules orbital implant) Following Evisceration
title_sort clinical study on outcome of polymethyl methacrylate orbital implant mules orbital implant following evisceration
topic evisceration
anterior sclerotomy
mules pmma orbital implant
good clinical outcome.
url https://journals.lww.com/10.7869/djo.238
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