ABSTRACT We report a rare case of spontaneous extrusion of a Müller sphere implant three decades after ocular evisceration. A 44-year-old woman, with a history of evisceration of the left eye due to phthisis bulbi from congenital syphilis, presented with extrusion of an orbital implant. Surgical management consisted of reimplantation of a new sphere using a reconstructive technique with scleral shell and biological support. Postoperative recovery was favorable, and progressive prosthetic rehabilitation provided satisfactory functional and cosmetic outcomes. This case […]

ABSTRACT The loss of the eyeball has a significant aesthetic and social impact, affecting self-esteem and causing feelings of inferiority. Ocular prostheses play a crucial role in functional, aesthetic, and social rehabilitation. This article reports the rehabilitation of a 61-year-old male leucodermic patient with unilateral evisceration, referred to the Facial Prosthesis Service at the Rehabilitation Hospital Center of Paraná. The patient had a motorcycle accident five years ago, resulting in the perforation of his left eye. Physical examination revealed an […]

We present the case of an 80-year-old patient diagnosed with severe pseudoexfoliation syndrome (PEX) in both eyes (OU), who underwent uneventful bilateral phacoemulsification with in-the-bag intraocular lens (IOL) implantation 10 years ago. However, 4 years postoperatively, the patient developed subluxation of the capsular bag-IOL complex in the left eye, attributable to the progressive zonular insufficiency characteristic of PEX. Consequently, the subluxated IOL was removed, and an iris-fixated lens was implanted. During follow-up, 6 years after the initial surgery, a similar […]

Conjunctival cysts in anophthalmic socket may have functional and aesthetic implications for the patients.Among the available treatment options, the use of trichloroacetic acid is relatively recent. Our reported cases showed a good outcome after 30 days of treatment, that was well tolerated by patients, with greater conjunctival tissue preservation.

OBJECTIVE: Ocular changes in special due to volume loss in eviscerated cavities promote several psychological aesthetic and functional alterations to patients. For this reason, searches aiming at finding a material of low cost and biocompatibility have been constantly carried out. Test experimentally the implants constituted of ultra-high molecular weight granular polyethylene oflow cost, in orbits of rabbits subjected to surgical evisceration in several experimental times, evaluating the macro and microscope aspects besides the systemic toxicity of the material. METHODS: In […]