Rev Bras Oftalmol.2026;85:e0039
Spontaneous extrusion of a Müller sphere 30 years after evisceration
DOI: 10.37039/1982.8551.20260039
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 illustrates that orbital implant extrusion may occur even decades after surgery and highlights the importance of long-term follow-up in patients with ocular prostheses.
