Complications in motility PEG placement for hydroxyapatite orbital implant in anophthalmic socket.
Lee, SY; Jang, JW; Lew, H; Kim, SJ; Kim, HY
Japanese journal of ophthalmology, 46(1):103-107, 2002
Japanese journal of ophthalmology
PURPOSE: In a retrospective study, we evaluated the complications in using the motility peg system (nonsleeved and sleeved) for hydroxyapatite orbital implants in an anophthalmic socket.
METHODS: Drilling for motility peg placement was performed in 265 patients with hydroxyapatite implantation: nonsleeved peg system (n = 191), sleeved peg system (n = 74). A statistical analysis was performed using the chi-square test.
RESULTS: Extrusion rates were significantly lower in the sleeved peg system (10.8%) compared to the nonsleeved peg system (27.2%) (P =.005). The other complications related to motility peg placement were granulation tissue overgrowth (4.2%), hydroxyapatite exposure around peg head (3.0%), and decentered peg (1.9%).
CONCLUSIONS: To minimize peg extrusion, the sleeved peg was better than the nonsleeved peg for use in primary motility peg placement.
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