Most Read Articles
Yesterday
Exposure to corticosteroids in patients with autoimmune hepatitis (AIH) appears to contribute to increased risks of cataract, diabetes and bone fractures, a study has found. Notably, the fracture risk is elevated at low doses, while the risk of adverse events overall is dose-dependent and is reversible.
6 days ago
In patients with atrial fibrillation (AF) and stable coronary artery disease (CAD), rivaroxaban monotherapy is noninferior to combination treatment with an antiplatelet therapy in terms of cutting the risk of cardiovascular events and mortality, according to data from the AFIRE trial.
Elvira Manzano, 12 Nov 2019
Supplementation with omega-3 fatty acids or vitamin D3 for up to 5 years has no effect on kidney function in adults with type 2 diabetes (T2D), the VITAL-DKD* ancillary study has shown.
Jairia Dela Cruz, 4 days ago
Many patients with nonvalvular atrial fibrillation (NVAF) in Thailand use anticoagulants, but the uptake of nonvitamin-K oral anticoagulants remains suboptimal despite showing an upward trend, according to data from the COOL-AF registry presented at the European Society of Cardioloy (ESC) Asia Congress 2019 with APSC and AFC.

Unwrapped hydroxyapatite orbital implant cuts surgical time, avoids complications

23 Sep 2019
The future of eyesight restoration may come from a most unlikely corneal donor – pigs.

A large case series of enucleations has shown a low rate of implant exposure, which indicates that absence of wrapping material around hydroxyapatite orbital implants does not compromise surgical outcomes. It has also reduced surgical time and prevented complications from wrapping materials.

A retrospective review was conducted on consecutive enucleations with primary hydroxyapatite orbital implant insertion performed at the Scottish Ocular Oncology Service between 1990 and 2014. The unwrapped implant was placed in the posterior portion of the socket and recti muscles sutured end-to-end over the implant.

Of the 347 consecutive enucleations, 59.7 percent had an indication of tumour-related pathology and 40.3 percent painful blind eye. Seventy percent received an implant of 22-mm diameter.

Several complications occurred over a mean follow-up of 3.5 years, including postenucleation socket syndrome (11.5 percent), chronic discharge (9.2 percent), chronic pain (4.3 percent), recurrent conjunctival infection (2.3 percent), conjunctival cysts (2 percent), contracted socket (1.4 percent), implant exposure (1.2 percent), haematoma (0.6 percent) and ill-fitting prosthesis (0.6 percent).

Implant exposure (n=4) occurred at an average of 4.5 months after surgery. Management of this complication included temporalis fascia graft (n=1), tarsoconjunctival flap (n=1), implant removal (n=1) and observation (n=1).

Of the patients, 9.8 required further surgery, including lower lid tightening (4.3 percent), ptosis repair (2.3 percent), conjunctival cyst excision (1.2 percent), fornix reconstruction (1.2 percent), graft/flap for exposure (0.6 percent) and implant removal (0.3 percent).

“Posterior implant placement and end-to-end recti suturing contribute to the success of the procedure,” the authors said.

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Most Read Articles
Yesterday
Exposure to corticosteroids in patients with autoimmune hepatitis (AIH) appears to contribute to increased risks of cataract, diabetes and bone fractures, a study has found. Notably, the fracture risk is elevated at low doses, while the risk of adverse events overall is dose-dependent and is reversible.
6 days ago
In patients with atrial fibrillation (AF) and stable coronary artery disease (CAD), rivaroxaban monotherapy is noninferior to combination treatment with an antiplatelet therapy in terms of cutting the risk of cardiovascular events and mortality, according to data from the AFIRE trial.
Elvira Manzano, 12 Nov 2019
Supplementation with omega-3 fatty acids or vitamin D3 for up to 5 years has no effect on kidney function in adults with type 2 diabetes (T2D), the VITAL-DKD* ancillary study has shown.
Jairia Dela Cruz, 4 days ago
Many patients with nonvalvular atrial fibrillation (NVAF) in Thailand use anticoagulants, but the uptake of nonvitamin-K oral anticoagulants remains suboptimal despite showing an upward trend, according to data from the COOL-AF registry presented at the European Society of Cardioloy (ESC) Asia Congress 2019 with APSC and AFC.