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DD Thuente, DE Neely; Pediatric Enucleation: Ten-Year Review of Silicone Sphere Implants . Invest. Ophthalmol. Vis. Sci. 2002;43(13):1477.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To examine the demographics, complications, and outcomes of pediatric patients undergoing enucleation with silicone sphere implantation. Methods: A ten year, retrospective chart review of 33 pediatric patients (34 eyes) undergoing enucleation and implantation of a silicone sphere implant in one or both eyes. Results: Average silicone implant size was 17.5 mm (range, 14-21 mm). Post-operative complications occurred in 6 orbits (18%). Five complications were severe enough to warrant additional surgery. Observed complications included implant exposure (4), and implant migration (2). No complications occurred in patients receiving silicone spheres wrapped in donor sclera with anatomic rectus muscle reattachment. Conclusions: Enucleation with silicone sphere implantation is successful in the pediatric population. Complications are rare when the implant is wrapped in donor sclera and the rectus muscles are reattached in their anatomic location.
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