Pegging the porous orbital implant.

Abstract:

PURPOSE:Hydroxyapatite (HA) orbital implants are commonly used for the anophthalmic socket. With a HA implant, if motility is not satisfactory then a peg system can be surgically placed in attempts to improve motility. The authors report the technique and results of 83 patients who received motility peg placement over an 8-year period by a single surgeon. METHODS:Retrospective chart review of all patients with previous enucleation with either primary or secondary insertion of a HA implant who received a motility peg by a single oculoplastic surgeon between January 1999 and February 2007. RESULTS:Eighty-three patients underwent placement of a titanium peg and sleeve during the study period. Complications seen in the follow-up period included discharge, pyogenic granuloma, and others. Infection was experienced in 1 case. Fourteen patients (17%) required further surgical management due to complications. CONCLUSIONS:The largely positive results of this moderately sized case series validates the efficacy of pegging a hydroxyapatite orbital implant with minor risk of serious complications; this may have been due to a combination of factors including an experienced surgeon and adequate follow-up. As a procedure that can be completed in a hospital or minor surgical suite with sedation, it remains a viable option for many patients.

authors

Johnson RL,Ramstead CL,Nathoo N

doi

10.1097/IOP.0b013e3181b8c733

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

74-5

issue

2

eissn

0740-9303

issn

1537-2677

journal_volume

27

pub_type

杂志文章
  • Pyogenic granuloma after transconjunctival blepharoplasty: a case report.

    abstract::This is the first known report of a relatively large postoperative pyogenic granuloma developing after a nonsutured transconjunctival blepharoplasty. Inflammation and separation or malapposition of the conjunctival wound edges probably permitted the lesion to proliferate in the inferior fornix. No foreign material cou...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-199312000-00013

    authors: Soll SM,Lisman RD,Charles NC,Palu RN

    更新日期:1993-12-01 00:00:00

  • Nodular Lymphocyte Predominant Hodgkin Lymphoma Presenting With Unilateral Orbital Involvement.

    abstract::A 40-year-old white woman presented to her general ophthalmologist for swelling of the left upper eyelid that began approximately 6 months before. CT scan of the orbits with and without contrast demonstrated homogenous enhancement of the left lacrimal gland. Examination was notable for left hypoglobus and proptosis. T...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000678

    authors: Mettu P,Griffith M,Yohe S,Harrison AR

    更新日期:2017-03-01 00:00:00

  • Bacteremia Following Nasolacrimal Duct Probing: Is There a Role of Preoperative Antibiotic Prophylaxis?

    abstract:AIM:To study the incidence of nasolacrimal duct probing-induced bacteremia using the metabolic colorimetric sensor technique of blood culture. METHODS:Prospective, interventional study of all consecutive patients who underwent endoscopic-guided probing for congenital nasolacrimal duct obstruction (CNLDO). All patients...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000403

    authors: Ganguly A,Ali MJ,Padmaja K,Sharma S,Lakshmi V,Naik MN

    更新日期:2016-03-01 00:00:00

  • Reconstruction of complex orbitocranial deformities using bioresorbable mesh, sterilized orbital models, and in situ contouring.

    abstract:PURPOSE:To assess the efficacy of bioresorbable mesh in reconstruction of orbitocranial deformities. METHODS:A retrospective case series evaluating 6 orbits of 6 patients, ages 12 to 70 years old, with large multicontoured orbitocranial defects that were repaired using bioresorbable macroporous mesh. Both functional (...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.iop.0000195007.61565.ae

    authors: Punja KG,Kikkawa DO,Morrison VL,Pornpanich K,Holmes RE,Cohen SR

    更新日期:2006-01-01 00:00:00

  • Morphometric Analysis of the Orbital Process of the Palatine Bone and its Relationship to Endoscopic Orbital Apex Surgery.

    abstract:BACKGROUND:Endoscopic approaches to the orbit improve the ability to directly access apical lesions while minimizing manipulation of normal structures. Inferomedial orbital access is limited by the orbital process of the palatine bone (OPPB) which prevents dissection and retraction in the inferolateral vector. OBJECTI...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000940

    authors: Mueller SK,Freitag SK,Bleier BS

    更新日期:2018-05-01 00:00:00

  • Hyaluronic Acid Gel Biodegradation After Intrapalpebral and Intraorbital Injection in Experimental Study.

    abstract:PURPOSE:Amid the increasing clinical application of hyaluronic acid (HA) fillers in the ocular adnexa is a paucity of histological data concerning the fate of the injected material. The current study documents the in vivo biodegradation of HA deposited in the eyelid and orbit. METHODS:The study included 22 chinchilla ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001374

    authors: Sheptulin V,Fedorov A,Prause J,Fay A,Grusha Y

    更新日期:2019-11-01 00:00:00

  • Anterior Approach White-Line Advancement: A Hybrid Technique for Ptosis Correction.

    abstract:PURPOSE:To describe the technique of anterior approach white-line advancement for correction of ptosis. METHODS:Retrospective review of consecutive cases that underwent anterior approach white-line advancement for correction of aponeurotic ptosis. In this technique, the posterior surface of the levator aponeurosis (wh...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000543

    authors: Sagili S

    更新日期:2015-11-01 00:00:00

  • Capillary Hemangioma Presenting as a Scleral Vascular Lesion in a Child.

    abstract::A 7-year-old healthy girl presented for an evaluation of a left vascular scleral mass. The lesion appeared spontaneously with no history of trauma, coagulopathy, or topical medication use. It was nontender, enlarging, and did not extend intraocularly. Her OS vision was 20/20, and the remainder of her eye examination w...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001443

    authors: Bradfield Y,Burkat CN,Albert DM,Potter HAD

    更新日期:2019-09-01 00:00:00

  • External dacryocystorhinostomy outcomes in sarcoidosis patients.

    abstract:PURPOSE:To determine surgical outcomes after external dacryocystorhinostomy (DCR) surgery in patients with sarcoidosis. METHODS:We retrospectively reviewed the charts of all patients with sarcoidosis who underwent external DCR surgery between January 2001 and January 2010. Clinical data reviewed included patient demog...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3182364ad2

    authors: Lee BJ,Nelson CC,Lewis CD,Perry JD

    更新日期:2012-01-01 00:00:00

  • Causes of involutional ectropion and entropion--age-related tarsal changes are the key.

    abstract:PURPOSE:To measure tarsal plates across various age-groups, to determine whether tarsal size changes with increasing age and whether size correlates with involutional ectropion and entropion. METHODS:Comparative, observational, case-control study design. Data were obtained for length and height of tarsus in each of th...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-200003000-00008

    authors: Bashour M,Harvey J

    更新日期:2000-03-01 00:00:00

  • Anatomic considerations in upper eyelid retraction.

    abstract::A series of anatomically correct orbital drawings are created to examine the major integrating factors that determine upper eyelid position on the eye. The principal upper eyelid force planes can be identified as (1) the eyelid vertical retractor plane slightly divergent from the orbital axis, (2) the eyelid protracto...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-199109000-00002

    authors: Lemke BN

    更新日期:1991-01-01 00:00:00

  • INI1/SMARCB1-Deficient Carcinoma (Rhabdoid Tumor) of the Lacrimal Gland.

    abstract::Integrase interactor 1 (INI1) is a tumor suppressor gene that is ubiquitously expressed in all nucleated cells. The loss of INI1 protein activity was first demonstrated in aggressive pediatric tumors, including atypical teratoid/rhabdoid (AT/RT) tumor of the central nervous system and malignant rhabdoid tumor of the k...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001311

    authors: Srinivasan A,Tuluc M,Jordan AJ Jr,Curry JM,Bilyk JR

    更新日期:2019-03-01 00:00:00

  • Orbital burkitt lymphoma in immunocompetent patients: a report of 3 cases and a review of the literature.

    abstract:PURPOSE:To describe a series of 3 immunocompetent patients with the sporadic form of orbital Burkitt lymphoma and review the outcomes of such patients reported in the scientific literature. METHODS:Retrospective review of medical records and the literature. Cases of orbital Burkitt lymphoma in immunocompromised and Af...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/IOP.0b013e3181b80fde

    authors: Baker PS,Gold KG,Lane KA,Bilyk JR,Katowitz JA

    更新日期:2009-11-01 00:00:00

  • Schwartz-Jampel syndrome: surgical management of the myotonia-induced blepharospasm and acquired ptosis after failure with botulinum toxin A injections.

    abstract::A 6-year-old boy with Schwartz-Jampel syndrome and severe myotonia-induced blepharospasm and ptosis did not respond to botulinum toxin A injections in the orbicularis muscle. The clinical diagnosis was further supported by electromyography. Surgical management using a combination of techniques in one operation produce...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.iop.0000195008.15872.a0

    authors: Morrison DA,Mellington FB,Hamada S,Moore AT

    更新日期:2006-01-01 00:00:00

  • Proptosis Reduction Using Sirolimus in a Child With an Orbital Vascular Malformation and Blue Rubber Bleb Nevus Syndrome.

    abstract::A 15-month-old boy with left congenital proptosis presented to the emergency department with melena. Upper GI endoscopy and magnetic resonance angiography revealed vascular lesions, consistent with gastrointestinal tract manifestations of blue rubber bleb nevus syndrome. MRI revealed vascular malformations in both orb...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000692

    authors: Gildener-Leapman JR,Rosenberg JB,Barmettler A

    更新日期:2017-05-01 00:00:00

  • Using the inferior oblique muscle to augment implant coverage in enucleation surgery.

    abstract:PURPOSE:We present a technique modification for enucleation surgery that may decrease implant exposure or extrusion by using native tissue to reinforce the implant at the most susceptible area, specifically the anterior-most aspect. METHODS:An enucleation procedure is performed, and an implant is placed into the orbit...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181e4a770

    authors: McInnes AW,Dresner SC

    更新日期:2011-01-01 00:00:00

  • Benign reactive lymphoid hyperplasia of the caruncle and plica: report of 5 cases.

    abstract:PURPOSE:To report the clinicopathologic features and management of patients with benign reactive lymphoid hyperplasia of the caruncle and plica semilunaris. METHODS:This retrospective case series includes 5 patients with lesions in the caruncle or plica semilunaris who underwent surgical excision over a 10-year period...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181596b68

    authors: Bagheri A,Babsharif B,Yazdani S,Rezaee Kanavi M

    更新日期:2007-11-01 00:00:00

  • Endoscopic endonasal retrieval of a nasolacrimal duct stone via the valve of Hasner in the inferior meatus.

    abstract::A 37 year old man presented with a 6 month history of a right epiphora with associated mucus discharge. Lacrimal irrigation demonstrated right unilateral partial nasolacrimal duct obstruction, confirmed with lacrimal scintigraphy. Nasal endoscopy showed a pale elevation in the right inferior meatus. Endoscopic endonas...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e318220861f

    authors: Cnaan RB,Moosajee M,Heatley CJ,Olver JM

    更新日期:2012-03-01 00:00:00

  • Primary Orbital Chondromyxoid Fibroma: A Rare Case.

    abstract::A 56-year-old male with history of chronic sinusitis was found to have a 3 cm left orbital lesion on CT. Subsequent MRI demonstrated a multilobulated enhancing soft tissue lesion at the superotemporal region of the left orbit. Initial biopsy was reported as a low-grade sarcoma. On further evaluation, a consensus was m...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000857

    authors: Mullen MG,Somogyi M,Maxwell SP,Prabhu V,Yoo DK

    更新日期:2017-05-01 00:00:00

  • Accumulation of a black material around some titanium coupling posts.

    abstract:PURPOSE:To report 5 patients with a black material accumulating in the conjunctiva around the titanium peg and sleeve systems. METHODS:Retrospective small case series. The clinical features of 5 patients were reviewed. Histopathologic analysis was performed on specimens from 3 patients. Neutron activation analysis was...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-200211000-00012

    authors: Jordan DR,Brownstein S,Dorey MW,Coupal D,Ahuja N,Gilberg S

    更新日期:2002-11-01 00:00:00

  • Kindler syndrome causing severe cicatricial ectropion.

    abstract::A 32-year-old female with Kindler syndrome presented with a 5-year history of lower eyelid malposition, corneal exposure, and recurrent erosions. Severe anterior lamellar cicatricial changes were noted bilaterally, with bilateral lower eyelid ectropion and retraction. Tarsal eversion was noted on the left lower eyelid...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3181c4dff6

    authors: Lelli GJ Jr

    更新日期:2010-09-01 00:00:00

  • Comparison of synthetic hydroxyapatite and porous polyethylene implants in eviscerated rabbit eyes.

    abstract:PURPOSE:Synthetic hydroxyapatite and porous polyethylene (Polipore) spheres were placed in rabbits' eviscerated cavities to evaluate tissue reaction and volume maintenance. METHODS:Fifty-six Norfolk albino rabbits underwent unilateral evisceration and implantation of synthetic hydroxyapatite (H group, 28 animals) or p...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.IOP.0000056028.98833.FF

    authors: Schellini SA,Marques ME,Padovani CR,Taga EM,Rossa R

    更新日期:2003-03-01 00:00:00

  • Kocuria rosea canaliculitis: a clinicomicrobiological correlation.

    abstract::Kocuria rosea is usually a nonpathogenic commensal colonizing the skin and oropharynx but can become an opportunistic pathogen in immunocompromised states. Documented cases of any infections with K. rosea are exceedingly rare. This study reports the first case of canaliculitis with K. rosea, its clinicomicrobiological...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3182a650dd

    authors: Ali MJ,Pujari A,Motukupally S,Naik MN

    更新日期:2014-11-01 00:00:00

  • Orbitofacial Metastatic Basal Cell Carcinoma: Report of 10 Cases.

    abstract:PURPOSE:To explore the clinical features, management, and prognosis of metastatic basal cell carcinoma originating in the orbitofacial region. METHODS:Ten cases of orbitofacial metastatic basal cell carcinoma were identified by searching databases at 2 institutions from 1995 to 2015. A retrospective chart review was p...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000715

    authors: Branson SV,McClintic E,Ozgur O,Esmaeli B,Yeatts RP

    更新日期:2017-05-01 00:00:00

  • Clinicopathologic evaluation of the Mueller muscle in thyroid-associated orbitopathy.

    abstract:PURPOSE:To study the histopathologic features of the Mueller muscle in chronic eyelid retraction caused by thyroid-associated orbitopathy. To investigate if the degree of eyelid retraction correlates with any histopathologic finding. METHODS:A prospective case series of 23 consecutive patients with thyroid-associated ...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-200201000-00003

    authors: Cockerham KP,Hidayat AA,Brown HG,Cockerham GC,Graner SR

    更新日期:2002-01-01 00:00:00

  • Malignant melanoma of the lacrimal drainage apparatus complicating conjunctival melanoma.

    abstract:PURPOSE:Melanoma of the conjunctiva may occasionally involve the lacrimal drainage apparatus (LDA). This makes clinical management difficult. The authors describe 5 cases of conjunctival melanoma with LDA disease and make recommendations about its management. METHODS:Retrospective review of case notes and histopatholo...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000000256

    authors: Satchi K,McKelvie P,McNab AA

    更新日期:2015-05-01 00:00:00

  • Panophthalmitis and Visual Loss as a Complication of Acute Dacryocystitis.

    abstract::Acute dacryocystitis causing visual loss due to development of orbital complications like central retinal artery or ophthalmic artery occlusion, retinal vein occlusions, and optic neuritis is rare but a known entity. However, development of scleral abscess and panophthalmitis as a complication of acute dacryocystitis,...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0000000000001686

    authors: Bothra N,Agarwal K,Ali MJ

    更新日期:2020-11-01 00:00:00

  • The successful treatment of a divided nevus on a young patient using a modified Kunhnt-Szymanowski procedure.

    abstract::A 16-year-old boy underwent excision of a congenital divided nevus on his left eyelids. The defect of the lower eyelid was repaired utilizing a modified Kuhnt-Szymanowski procedure, and the part of the nevus on the upper eyelid was removed by simple horizontal excision and suture. The symmetry of both of his eyelids w...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-199009000-00005

    authors: Kasai K,Ogawa Y

    更新日期:1990-01-01 00:00:00

  • Intraorbital Arteriovenous Fistula Secondary to Penetrating Injury.

    abstract:PURPOSE:To describe the clinical and radiologic features and management of an intraorbital arteriovenous fistula secondary to penetrating injury. METHOD:Interventional case report and literature review. RESULTS:We describe a 13-year-old girl with a history of penetrating orbital injury who presented with proptosis, e...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/IOP.0b013e3180686e7e

    authors: Yazc B,Yazc Z,Erdogan C,Rootman J

    更新日期:2007-07-01 00:00:00

  • The influence of hyperbaric oxygen therapy and irradiation on hydroxyapatite ocular implant exposure and fibrovascular ingrowth in New Zealand white rabbits.

    abstract:PURPOSE:Lack of adequate fibrovascular ingrowth has been implicated as a cause of exposure of hydroxyapatite (HA) implants in anophthalmic sockets. We investigated the vasculopathic effects of external beam irradiation, and the fibrovascular-enhancement effects of hyperbaric oxygen (HBO), on HA implant exposure and fib...

    journal_title:Ophthalmic plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00002341-199911000-00009

    authors: DeBacker CM,Dutton JJ,Proia AD,Halperin EC,Wagle TN,Holck DE

    更新日期:1999-11-01 00:00:00