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The use of autogenous sclera as wrapping material in hydroxyapatite implantation.

Authors
Yoon, JS; Lew, H; Kook, KH; Lee, SY
Citation
Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde, 223(1):7-11, 2009
Journal Title
Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
ISSN
0030-37551423-0267
Abstract
PURPOSE: To report postoperative results and effectiveness using autogenous sclera as a wrapping material for hydroxyapatite orbital implant. METHODS: A chart review of 78 patients (78 eyes) undergoing primary enucleation or a secondary procedure using autogenous sclera as a wrapping material from March 1997 to October 2004 was undertaken. Primary enucleation was performed in 54 eyes and secondary implantation in 24. In severely constricted eyes or eviscerated eyes with small implants, the sclera was unfolded and used for wrapping only on the anterior surface of the implant. RESULTS: The average size of implants was 19.7 mm in diameter, and all the 78 implants were over 18 mm. During an average postoperative follow-up of 18 months, complications such as implant exposure, infection or extrusion did not occur in any case. CONCLUSION: This study shows that autogenous sclera is a safe, effective wrapping material for hydroxyapatite orbital implants with no serious complications.
MeSH terms
AdolescentAdultAgedBiocompatible Materials*ChildChild, PreschoolCoated Materials, Biocompatible*Durapatite*Eye/radiographyEye/ultrasonographyEye Diseases/surgeryEye Enucleation*Eye Injuries/surgeryFemaleHumansMaleMiddle AgedOphthalmologic Surgical Procedures/adverse effectsOrbital Implants*Preoperative CareRetrospective StudiesSclera/surgery*Tissue and Organ HarvestingTomography, X-Ray ComputedTreatment OutcomeYoung Adult
DOI
10.1159/000161876
PMID
18849630
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Ophthalmology
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