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 […]

OBJECTIVE: To access the patient’s profile after enucleation or evisceration of ocular globe using mules implant. METHODS: An epidemiological study with a cross-sectional design was conducted, based on analysis of medical records of patients who underwent enucleation or evisceration of the eyeball assisted in the Department of Ocular Plastic and Orbit of the HRSJ from December 1999 to December 2009. The variables used were age, sex, surgery, indication, size of implant and postoperative complications associated. RESULTS: A total of 68 […]

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 […]

PURPOSE: To evaluate the dermofat graft in the anophthalmic socket treatment. METHODS: A retrospective study including 28 anophthalmic cavity carriers treated with dermofat graft was carried out. The patients were analyzed according to age, sex, socket contraction degree, first surgery performed, reason for graft choice, procedure´s results and complications. The data were analyzed according to the frequency of occurrence. RESULTS: Nineteen (67.8%) of the 28 analyzed patients were male. According to age the majority of patients were between 40 to […]