Inferolateral migration of hydrogel orbital implants in microphthalmia

Jeremiah P. Tao, Russell M. Leboyer, Kathy Hetzler, John D. Ng, William R. Nunery

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Purpose: Hydrogel spheres may be useful in treating orbital hypoplasia associated with congenital microphthalmia. The authors describe migration associated with the use of these devices. Methods: The authors retrospectively reviewed 5 cases in which a hydrogel orbital expander (Osmed) was implanted to treat orbital hypoplasia in pediatric patients with congenital microphthalmia (with or without previous surgery). Results: In all 5 cases, a lateral orbitotomy, conjunctiva-sparing approach was used to insert the hydrogel spheres. Two cases involved previously unoperated orbits; 3 patients had prior orbit or socket surgery. Inferolateral movement outside the desired central, deep orbital position occurred in all 5 cases. Four of 5 cases required further procedures to achieve an adequate orbital implant position. Conclusions: Inferolateral migration may occur with hydrogel spheres implanted via a lateral orbitotomy approach in microphthalmia.

Original languageEnglish (US)
Pages (from-to)14-17
Number of pages4
JournalOphthalmic plastic and reconstructive surgery
Volume26
Issue number1
DOIs
StatePublished - Jan 1 2010

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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