| Treatment of Recalcitrant Orbital Implant Exposure using Upper Tarsoconjunctival Flap. |
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Chungkwon Yoo, Min Soo Park, Tae Soo Lee |
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Department of Ophthalmology, College of Medicine, Korea University, Korea. tsoooo@hanmail.net |
| 검판 - 결막 피판을 이용한 난치성 안와삽입물 노출의 치료 1 례 |
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유정권(Chungkwon Yoo),박민수(Min Soo Park),이태수(Tae Soo Lee) |
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| Abstract |
PURPOSE
This study is to report a case of recalcitrant exposure of Medpor(R) orbital implant which required the use of an upper eyelid tarsoconjunctival flap. METHOD: A six year-old female patient presented with re-exposure of Medpor(R) orbital implant after 2 previous dermis grafts had failed. The downgrown conjunctival epithelial tissues were cryocoagulated. A fornix-based tarsoconjunctival flap was fashioned from the upper lid, inverted and placed over the sclera-covered exposed implant. After placement of a conformer, tarsorrhapy was done. The flap was divided with release of tarsorrhapy as a second stage procedure 4 weeks after the primary surgery. RESULT: The previously exposed implant remained covered and no other complication was observed during a one-year follow-up period. CONCLUSION: Upper tarsoconjunctival flap may be an excellent surgical method in treatment of recurrent exposure of orbital implants refractory to conventional therapies. |
| Key Words:
Exposure;Orbital implants;Tarsoconjunctival flap |
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