The porous polyethylene/bioglass spherical orbital implant

A retrospective study of 170 cases

Xiaoping Ma, Kevin R. Schou, Maureen Maloney-Schou, Fredric M. Harwin, John Ng

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Purpose: To report patient outcomes after placement of porous polyethylene (PPE)/bioglass (BG) orbital implants for primary enucleation or secondary implantation. DESIGN:: Retrospective chart review in one surgeon's practice (J.D.N.). Methods: A chart review of all patients who underwent placement of PPE/BG orbital implants was performed. Data included patient's age, gender, surgical indication, prior ocular surgery, medical history, procedure performed, implant size, and postoperative complications. Results: PPE/BG implants were placed in 170 sockets. Seventy-seven patients were women, and 85 were men. One hundred forty patients underwent primary enucleation and placement of an implant, and 22 patients underwent secondary implantation. One hundred sixty-one patients did well after orbital implantation with a comfortable socket, quiet conjunctiva, and motility. Complications occurred in 9 patients (5.3%). Excessive discharge alone occurred in 2 patients (1.2%). Seven sockets undergoing primary enucleation and implant placement had implant exposure. One patient had an early exposure, and 6 had late exposures. All exposures were successfully treated with antibiotics or additional surgery. Secondary surgeries were required by some patients, but not due to implant complications, included ectropion repair in 5 patients (2.9%) and volume augmentation in 3 patients (1.7%). CONCLUSIONS:: The PPE/BG orbital implant may be a useful implant for orbital reconstruction after primary enucleation or as a secondary implant.

Original languageEnglish (US)
Pages (from-to)21-27
Number of pages7
JournalOphthalmic Plastic and Reconstructive Surgery
Volume27
Issue number1
DOIs
StatePublished - Jan 2011

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Orbital Implants
Polyethylene
Retrospective Studies
Bioglass
Ectropion
Conjunctiva

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

The porous polyethylene/bioglass spherical orbital implant : A retrospective study of 170 cases. / Ma, Xiaoping; Schou, Kevin R.; Maloney-Schou, Maureen; Harwin, Fredric M.; Ng, John.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 27, No. 1, 01.2011, p. 21-27.

Research output: Contribution to journalArticle

Ma, Xiaoping ; Schou, Kevin R. ; Maloney-Schou, Maureen ; Harwin, Fredric M. ; Ng, John. / The porous polyethylene/bioglass spherical orbital implant : A retrospective study of 170 cases. In: Ophthalmic Plastic and Reconstructive Surgery. 2011 ; Vol. 27, No. 1. pp. 21-27.
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