September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Evisceration with autogenous scleral graft and implantation by posterior way with ceramic implants: a seventeen-year study of 134 case reports.
Author Affiliations & Notes
  • Jeremy NADAL
    france, chu gui de chauliac montpellier, CODOGNAN, France
  • Vincent Daien
    france, chu gui de chauliac montpellier, CODOGNAN, France
  • Jacques jerome
    france, chu gui de chauliac montpellier, CODOGNAN, France
  • Frederic MURA
    france, chu gui de chauliac montpellier, CODOGNAN, France
  • Didier HOA
    france, chu gui de chauliac montpellier, CODOGNAN, France
  • Max Villain
    france, chu gui de chauliac montpellier, CODOGNAN, France
  • Footnotes
    Commercial Relationships   Jeremy NADAL, None; Vincent Daien, None; Jacques jerome, None; Frederic MURA, None; Didier HOA, None; Max Villain, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 704. doi:
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      Jeremy NADAL, Vincent Daien, Jacques jerome, Frederic MURA, Didier HOA, Max Villain; Evisceration with autogenous scleral graft and implantation by posterior way with ceramic implants: a seventeen-year study of 134 case reports.. Invest. Ophthalmol. Vis. Sci. 2016;57(12):704.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To present long-term follow-up data on eviscerations performed with autogenous scleral graft and a ceramic implantation by posterior way.

Methods : This study is a retrospective analysis of all eviscerations performed in the department of ophthalmology, Montpellier, France, between February 1998 and October 2015. The technic used was a conventional anterior evisceration with a total keratectomy, a disinsertion of the medial rectus muscle, a sectioning of the optic nerve and a taking of sclera centered on the papilla. The scleral graft was sutured just behind the suture of keratectomy, and the bioceramic implant carried out by posterior way. Demographic characteristics, implant size and type, cosmetics and complications were recorded.

Results : In total, 134 patients were included. The female to male ratio was 1/ 1,71. The median (interquartile range) size of implant was 17.32mm (1.84mm, [14-20]). The median follow-up after evisceration was 53.5 [2-138] months. Two cases of implant exposure (1.49%) were recorded during the study period. For 24 patients (17.9%), additional surgeries were performed for ptosis, conjunctival cyst or anophthalmic socket syndrome. Cosmetics results were recorded as good or excellent in 82.71% of cases.

Conclusions : Evisceration with autogenous scleral graft and implantation by posterior way suggest a high volume restoration, high rate of good mobility and low risks of exposure of the implant.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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