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Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration |
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| Authors: | Nicholas A. Moore Roxana Fu Jeremy Clark Mark Prendes William R. Nunery Richard A. Burgett |
| Affiliation: | 1. Department of Ophthalmology, School of Medicine, Indiana University, Indianapolis, IN, USAmoorena2007@gmail.com;3. Department of Ophthalmology, School of Medicine, Indiana University, Indianapolis, IN, USA;4. Department of Ophthalmology and Visual Sciences, Kentucky Lions Eye Center, University of Louisville, Louisville, KY, USA;5. Department of Ophthalmology and Visual Sciences, Kentucky Lions Eye Center, University of Louisville, Louisville, KY, USA;6. Oculofacial Plastic and Orbital Surgery, Indianapolis, IN, USA;7. St. Vincent Hospital, Indianapolis, IN, USA!["ORCID]({"type":"image","src":"/templates/jsp/images/orcid.png"} "\"ORCID") https://orcid.org/0000-0001-7683-945X;8. St. Vincent Hospital, Indianapolis, IN, USA;9. Midwest Eye Institute, Indianapolis, IN, USA |
| Abstract: | Purpose: The anterior vestibule salvaging (‘Birdcage’) technique may limit orbital implant extrusion following evisceration.Methods: A 10-year retrospective chart review from 2005 to 2015 of individuals who underwent evisceration procedures utilizing the vestibule salvaging technique was performed.Results: A total of 96 patients (61 male; 35 female; average age 64 years; range 17–96 years) underwent evisceration with a technique avoiding anterior scleral relaxing incisions. Three (3.1%) patients had documented extrusion of the silicone implant. Time from evisceration to extrusion ranged from 26 to 372 days.Conclusions: Maintenance of the anterior scleral vestibule during evisceration may decrease extrusion rates after surgery compared with traditional evisceration techniques that utilize anterior relaxing incisions. |
| Keywords: | Evisceration extrusion silicone implant surgical technique |