Abstract
Background: Orbital implants are used routinely in pediatric patients at the time of enucleation. Complications, such as exposure, ptosis, and infection, may occur after implantation. Controversy continues regarding the rate of complications with newer implants in the pediatric population. Objective: To examine the effects of orbital implants on children whose eyes have been enucleated. Methods: Records of orbital implantation after enucleation performed by 5 surgeons on 120 pediatric patients (123 eyes) over a 10.5-year period were reviewed retrospectively. Demographic data, ocular diagnosis, prior ophthalmic surgery, implant characteristics, and postoperative complications were described using a standardized format for all patients, with a minimum of 6 months of follow-up (mean, 3 years). Results: Complications were observed in 7 eyes (5.7%). Implant exposure (1 [0.8%]), implant extrusion (0 [0%]), and implant migration (3 [2.4%]) were rare. One hundred eighteen eyes (96%) had good cosmesis and 120 (98%) had good motility. Conclusions: Orbital implantation after enucleation is successful in the pediatric population. Complications are minimal. Hydroxyapatite implants were not associated with unacceptable complications in this pediatric population.
| Original language | English |
|---|---|
| Pages (from-to) | 503-506 |
| Number of pages | 4 |
| Journal | Archives of Ophthalmology |
| Volume | 118 |
| Issue number | 4 |
| State | Published - Apr 1 2000 |
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ASJC Scopus subject areas
- Ophthalmology
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Evaluation of efficacy and complications : Primary pediatric orbital implants after enucleation. / Christmas, Nancy J.; Van Quill, Kurt; Murray, Timothy G.; Gordon, Craig D.; Garonzik, Scott; Tse, David; Johnson, Thomas; Schiffman, Joyce; O'Brien, Joan M.
In: Archives of Ophthalmology, Vol. 118, No. 4, 01.04.2000, p. 503-506.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Evaluation of efficacy and complications
T2 - Primary pediatric orbital implants after enucleation
AU - Christmas, Nancy J.
AU - Van Quill, Kurt
AU - Murray, Timothy G.
AU - Gordon, Craig D.
AU - Garonzik, Scott
AU - Tse, David
AU - Johnson, Thomas
AU - Schiffman, Joyce
AU - O'Brien, Joan M.
PY - 2000/4/1
Y1 - 2000/4/1
N2 - Background: Orbital implants are used routinely in pediatric patients at the time of enucleation. Complications, such as exposure, ptosis, and infection, may occur after implantation. Controversy continues regarding the rate of complications with newer implants in the pediatric population. Objective: To examine the effects of orbital implants on children whose eyes have been enucleated. Methods: Records of orbital implantation after enucleation performed by 5 surgeons on 120 pediatric patients (123 eyes) over a 10.5-year period were reviewed retrospectively. Demographic data, ocular diagnosis, prior ophthalmic surgery, implant characteristics, and postoperative complications were described using a standardized format for all patients, with a minimum of 6 months of follow-up (mean, 3 years). Results: Complications were observed in 7 eyes (5.7%). Implant exposure (1 [0.8%]), implant extrusion (0 [0%]), and implant migration (3 [2.4%]) were rare. One hundred eighteen eyes (96%) had good cosmesis and 120 (98%) had good motility. Conclusions: Orbital implantation after enucleation is successful in the pediatric population. Complications are minimal. Hydroxyapatite implants were not associated with unacceptable complications in this pediatric population.
AB - Background: Orbital implants are used routinely in pediatric patients at the time of enucleation. Complications, such as exposure, ptosis, and infection, may occur after implantation. Controversy continues regarding the rate of complications with newer implants in the pediatric population. Objective: To examine the effects of orbital implants on children whose eyes have been enucleated. Methods: Records of orbital implantation after enucleation performed by 5 surgeons on 120 pediatric patients (123 eyes) over a 10.5-year period were reviewed retrospectively. Demographic data, ocular diagnosis, prior ophthalmic surgery, implant characteristics, and postoperative complications were described using a standardized format for all patients, with a minimum of 6 months of follow-up (mean, 3 years). Results: Complications were observed in 7 eyes (5.7%). Implant exposure (1 [0.8%]), implant extrusion (0 [0%]), and implant migration (3 [2.4%]) were rare. One hundred eighteen eyes (96%) had good cosmesis and 120 (98%) had good motility. Conclusions: Orbital implantation after enucleation is successful in the pediatric population. Complications are minimal. Hydroxyapatite implants were not associated with unacceptable complications in this pediatric population.
UR - http://www.scopus.com/inward/record.url?scp=0034072762&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034072762&partnerID=8YFLogxK
M3 - Article
C2 - 10766136
AN - SCOPUS:0034072762
VL - 118
SP - 503
EP - 506
JO - JAMA Ophthalmology
JF - JAMA Ophthalmology
SN - 2168-6165
IS - 4
ER -