Extrusão dos implantes em portadores de cavidade anoftálmica

• Autor(a) principal: Schellini, Silvana Artioli [UNESP]
• Data de Publicação: 2007
• Outros Autores: Ichida, Flavia Keiko [UNESP], Padovani, Carlos Roberto [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492007000500005; http://hdl.handle.net/11449/69840
• topic: Eye enucleation; Hydroxyapatites; Orbital diseases; Orbital implants/adverse effects; Sclera; Silicone elastomers; polymer; adolescent; adult; aged; child; enucleation; eye injury; eye surgery; female; foreign body; human; male; middle aged; orbit disease; orbit implant; preschool child; reoperation; retrospective study; statistics; time; wound dehiscence; Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Eye Enucleation; Eye Evisceration; Eye Injuries; Female; Foreign-Body Migration; Humans; Male; Middle Aged; Orbital Diseases; Orbital Implants; Polymers; Reoperation; Retrospective Studies; Surgical Wound Dehiscence; Time Factors

Purpose: To evaluate the characteristics of patients with anophthalmic cavity who developed sphere extrusion. Methods: A retrospective observational study was done evaluating 37 patients with anophthalmic cavity and sphere extrusion at the Faculdade de Medicina de Botucatu-UNESP. Results: Extrusion was observed in enucleated and eviscerated cavities. The majority of the patients had the eye removed because of phthisis bulbi or trauma and the extrusion happened 1 or 2 years after the surgery. Extrusion was preceded by conjunctival dehiscence and exposure of the sphere and occurred with all used implants. Conclusion: Complications after orbital implant placement are a possibility. Dehiscence and sphere extrusion may happen and another surgery would be necessary. The patient and the ophthalmologist have to be prepared for this.