J Korean Ophthalmol Soc.  2001 Apr;42(4):558-562.

Porous Orbital Implantation using Autogenous Lamella Scleral Graft

• Hur H
• Song MS
• Baek SH

Abstract

PURPOSE: Current enucleation and socket reconstruction techniques often require reinforcement of an orbital implant or wound by use of a tissue graft. Common source is usually allograft tissue(cadaveric sclera, fascia, etc.). Disadvantages of allografts include possible inflammatory reaction, unpredictable vascularization rate, variable resorption, antigenicity, and cost.
METHODS
The authors used autogenous lamella sclera obtained from the enucleated eye. Seven autogenous lamella scleral grafts were used to cover biointegrated implant spheres(hydroxyapatite or Medpor(r)).
RESULTS
After the follow-up period of 6 to16 months(average 10.8 months), superior sulcus deformity(1 case) and transient exposure of implant(1 case) were developed. Postoperative prosthetic motility was satisfactory in all cases.
CONCLUSIONS
These techniques are presented as an alternative to using human bank tissue or remote incision autografts for reconstruction of the anophthalmic socket.

Keyword

Autogenous lamella scleral graft; Hydroxyapatite; Medpor(r)

MeSH Terms

Allografts
Autografts
Durapatite
Fascia
Follow-Up Studies
Humans
Orbit*
Orbital Implants*
Sclera
Transplants*
Wounds and Injuries
Durapatite