Worldwide enucleation techniques and materials for treatment of retinoblastoma: an international survey

PloS One
Daphne L MouritsAnnette C Moll

Abstract

To investigate the current practice of enucleation with or without orbital implant for retinoblastoma in countries across the world. A digital survey identifying operation techniques and material used for orbital implants after enucleation in patients with retinoblastoma. We received a response of 58 surgeons in 32 different countries. A primary artificial implant is routinely inserted by 42 (72.4%) surgeons. Ten (17.2%) surgeons leave the socket empty, three (5.2%) decide per case. Other surgeons insert a dermis fat graft as a standard primary implant (n=1), or fill the socket in a standard secondary procedure (n=2; one uses dermis fat grafts and one artificial implants). The choice for porous implants was more frequent than for non-porous implants: 27 (58.7%) and 15 (32.6%), respectively. Both porous and non-porous implant types are used by 4 (8.7%) surgeons. Twenty-five surgeons (54.3%) insert bare implants, 11 (23.9%) use separate wrappings, eight (17.4%) use implants with prefab wrapping and two insert implants with and without wrapping depending on type of implant. Attachment of the muscles to the wrapping or implant (at various locations) is done by 31 (53.4%) surgeons. Eleven (19.0%) use a myoconjunctival technique, nin...Continue Reading

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Citations

Sep 4, 2015·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Kai JinJuan Ye
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Aug 29, 2018·Materials·Francesco BainoChiara Vitale-Brovarone

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