PMID: 16640047Apr 28, 2006Paper

The orbital implant after exenteration of the orbit with the preservation of the eyelids and the conjunctival sac

Ceská a slovenská oftalmologie : casopis Ceské oftalmologické spolecnosti a Slovenské oftalmologické spolecnosti
J KrásnýJ Otradovec

Abstract

In ophthalmology, the orbital exenteration presents the most mutilating surgical procedure. The surgical technique presented by authors, preserves the eyelids and conjunctival sac. This surgical procedure was suggested and repeatedly performed in adult patients with extensive benign tumors (mostly meningeomas) by J. Otradovec and J. Safár. The enucleation of the eyeball preceded this type of surgery. The final state made it possible to put the prosthesis into the conjunctival sac. Today we inform about further development of this surgical technique and according to our own experiences we widen its indications to some malignant tumors (rhabdomyosarcoma and metastases of the retinoblastoma, etc.) in children. The initial cutaneous incision starts in the eyebrow area and is directed toward the bone of the orbital rim. The preparation of the tissue underneath the intact conjunctival sac to the lower aspect of the bone orbital rim follows. After folding the conjuctival-cutaneous sac back, the real content of the orbit is exenterated in the classical manner. After the hemostasis in the orbital apex, the flap is returned to its primary position and suturing of the primary incision in anatomical layers terminates the surgery. The autho...Continue Reading

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