| Title | A novel repair technique for porous orbital implant exposure: long-term outcome |
| Submitted by | Kent Chow |
| Abstract Number | 209 |
| 19-144 | |
| Review Result | rapid fire presentation |
| Purpose |
Implant exposure is the most common serious complication of porous orbital implants, and often requires surgical repair. This study aims to describe a new repair technique using a bulbar conjunctival pedicle flap and a labial mucous membrane patch graft, as well as to report its long-term results. |
| Methods |
A retrospective chart review was performed on all patients whose porous orbital implant exposures were repaired using this technique by a single surgeon (A. McNab) from 1999 to 2014. |
| Results |
Twenty-three patients were included. The maximal defect dimension ranged from 2 to 18 mm. The mean follow-up was 130 months (range 29 to 267 months). Eighteen patients (78%) were successfully treated with one repair surgery. At the final follow-up, 21 patients (91%) could comfortably wear a prosthetic eye, and 18 patients (78%) reported satisfactory cosmesis. Two patients (9%) developed small conjunctival cysts that were successfully excised. |
| Conclusion |
The combination of a bulbar conjunctival pedicle flap and a labial mucous membrane patch graft is a simple but effective technique in salvaging exposed porous orbital implants. Its long-term results are promising. |
Additional Authors
| Last name | Initials | City / Hospital | Department |
|---|---|---|---|
| Satchi | Khami | Royal Victorian Eye and Ear Hospital, Melbourne, Australia | Orbital, Plastic and Lacrimal |
| McNab | Alan | Royal Victorian Eye and Ear Hospital, Melbourne, Australia | Orbital, Plastic and Lacrimal |
