1. Hydroxyapatite Orbital Implant in Children Following Enucleation
- Author
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Sanket U. Shah, Jerry A. Shields, Carol L. Shields, and Sara E. Lally
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Enucleation ,Prosthesis Implantation ,Biocompatible Materials ,Prosthesis ,Eye Enucleation ,Postoperative Complications ,Patient satisfaction ,medicine ,Humans ,Child ,Retrospective Studies ,Eye, Artificial ,business.industry ,Eye Neoplasms ,Infant, Newborn ,Infant ,Implant Infection ,General Medicine ,Surgery ,Ophthalmology ,Durapatite ,Patient Satisfaction ,Child, Preschool ,Female ,Implant ,business ,Complication ,Orbit ,Orbital Implants - Abstract
PURPOSE To evaluate the features and long-term outcomes of hydroxyapatite (HA) orbital implant following enucleation in pediatric patients. METHODS A retrospective review was performed on clinical records of patients ≤18 years of age , managed with enucleation and HA implant placement. Recorded outcomes included implant-related complications, implant and prosthesis motility, and patient cosmetic satisfaction. RESULTS There were 525 children (531 sockets) with HA implant following enucleation. The mean age at HA implant placement was 3 years (median, 2 years; range, 4 days to 17 years). Indications for enucleation included retinoblastoma (n = 457, 86%), uveal melanoma (n = 17, 3%), medulloepithelioma (n = 8, 2%), and others (n = 49, 9%). The HA implant was uncoated (n = 370, 70%) or polymer coated (n = 161, 30%). For the 370 uncoated implants, wrapping was provided with scleral (n = 346, 94%) or bovine pericardium (n = 1
- Published
- 2015