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J.D. Perry; Exposed Porous Orbital Implants Treated with Simultaneous Secondary Implant and Dermis Fat Graft . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2224.
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Purpose: To describe a technique of simultaneous secondary implantation and dermis fat graft placement for treatment of exposed porous implants with significant overlying conjunctival and Tenon's insufficiency. Methods: Retrospective review of two consecutive cases. Charts were reviewed for type and size of initial implant, surgical therapy prior to presentation, preoperative findings, operative report, and postoperative course after simultaneous secondary implantation and dermis fat graft placement. Results: Two patients underwent simultaneous dermis fat graft placement and secondary implantation. Each patient underwent placement of an acrylic sphere within the muscle cone. The anterior aspects of the rectus muscles were sutured over the implant to act as the host bed for the dermis fat graft. Both patients tolerated a new prosthesis well, with adequate motility and cosmetic appearance. Conclusions: Simultaneous secondary implantation and dermis fat graft placement may adequately address avascular porous implant exposure with significant conjunctival insufficiency.
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