Anterior vestibule salvaging technique to limit silicone orbital implant extrusion following evisceration

Nicholas A. Moore, Roxana Fu, Jeremy Clark, Mark Prendes, William R. Nunery, Richard A. Burgett, H. B.Harold Lee

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
JournalOrbit (London)
DOIs
StateAccepted/In press - Jan 1 2018
Externally publishedYes

Keywords

  • Evisceration
  • extrusion
  • silicone implant
  • surgical technique

ASJC Scopus subject areas

  • Ophthalmology

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