Journal of the Korean Ophthalmological Society 2006;47(8):1225-1232.
Published online August 31, 2006.
Hydroxyapatite Orbital Implant in Pediatric Patients with Retinoblastoma.
Jong Wook Moon, Jin Sook Yoon, Sang Yeul Lee
The Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea. sylee@yumc.yonsei.ac.kr
망막모세포종 소아 환자에서 하이드록시아파타이트 안와삽입물 삽입술의 임상결과
문종욱,윤진숙,이상렬
The Institute of Vision Research, Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea
Correspondence:  Jong Wook Moon, M.D.
Abstract
PURPOSE
To evaluate the clinical results of implantation of hydroxyapatite orbital implant in patients with retinoblastoma. METHODS: The medical records of 31 children who had undergone hydroxyapatite implantation after enucleation or secondary hydroxyapatite implantation, for retinoblastoma from April 1994 to January 2006 were reviewed retrospectively. RESULTS: The mean age at the time of operation was 64.1 months (range, 1 to 247 months). The mean follow-up period was 35.3 months (range, 3 to 139 months). The diameter of the orbital implants most used was 20 mm (35.4%, range, 16~21 mm). Tutoplast(R), Vicryl mesh(R), and Neuropatch(R) were used as the wrapping materials for hydroxyapatite orbital implant. Of 31 patients (31 eyes), 8 eyes were found to have complications: 6 eyes showed lower lid sagging (19.4%), 1 eye granulation tissue overgrowth (3.2%) and 1 eye conjunctival sac contracture (3.2%). Exposure of the hydroxyapatite orbital implant occurred in 1 eye (3.2%). CONCLUSIONS: Hydroxyapatite implantation in children with retinoblastoma showed good surgical results and minimal complications.
Key Words: Hydroxyapatite;Retinoblastoma


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