Porous Orbital Implantation using Autogenous Lamella Scleral Graft.

Hur, Hwan; Song, Man Sung; Baek, Se Hyun

Original Article

Journal of the Korean Ophthalmological Society 2001;42(4):558-562.
Published online April 1, 2001.

Porous Orbital Implantation using Autogenous Lamella Scleral Graft.

Hwan Hur, Man Sung Song, Se Hyun Baek

¹Department of Ophthalmology, Gachon Medical school, Ghil Medical Center, Inchon, Korea.
²OSEO eye center.

자가표층공막편을 이용한 다공성 안와충전물 삽입술

허환(Hwan Hur),송만성(Man Sung Song),백세현(Se Hyun Baek)

Abstract

PURPOSE
Current enucleation and socket reconstruction techniques often require reinforcement of an orbital implant or wound by use of a tissue graft. Common source is usually allograft tissue(cadaveric sclera, fascia, etc.). Disadvantages of allografts include possible inflammatory reaction, unpredictable vascularization rate, variable resorption, antigenicity, and cost. METHODS: The authors used autogenous lamella sclera obtained from the enucleated eye. Seven autogenous lamella scleral grafts were used to cover biointegrated implant spheres(hydroxyapatite or Medpor(r)). RESULTS: After the follow-up period of 6 to16 months(average 10.8 months), superior sulcus deformity(1 case) and transient exposure of implant(1 case) were developed. Postoperative prosthetic motility was satisfactory in all cases. CONCLUSIONS: These techniques are presented as an alternative to using human bank tissue or remote incision autografts for reconstruction of the anophthalmic socket.

Key Words: Autogenous lamella scleral graft;Hydroxyapatite;Medpor(r)