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Int Ophthalmol ; 44(1): 371, 2024 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-39240285

RESUMEN

PURPOSE: To describe our experience over 6 years using a new high-density polyethylene-based spherical integrated porous orbital implants (Oculfit). METHODS: This is an observational retrospective case series study analyzing all cases requiring Oculfit implants between February 2015 and September 2021. Clinical information regarding the population included, the characteristics of the implant, and the outcomes and complications during the follow-up were noted. The success of the implant was defined according to anatomical and functional parameters. RESULTS: The study analyzed 90 cases of anophthalmic patients. The main causes for enucleation or evisceration were ocular decompensations (36.7%) and neoplasms (27.8% uveal melanoma and 7.8% retinoblastoma). Anatomical success was identified in 63 (70.0%) cases, functional success in 79 (87.8%) and complete success (anatomical + functional) in 61 (67.7%) cases. Factors associated with the functional success were age and exposure of the primary orbital implant. Complications appeared in 11 (12.2%) cases, which were completely resolved without sequelae in 4 (4.4%). Orbital explant was required in 5 (5.6%) cases. CONCLUSION: In our experience, Oculfit can be considered a useful alternative among the currently available options for orbital implants and has a good efficacy/safety profile.


Asunto(s)
Implantes Orbitales , Polietileno , Humanos , Implantes Orbitales/efectos adversos , Estudios Retrospectivos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Adulto , Niño , Adolescente , Preescolar , Porosidad , Adulto Joven , Diseño de Prótesis , Anciano de 80 o más Años , Complicaciones Posoperatorias/epidemiología , Enucleación del Ojo , Estudios de Seguimiento , Resultado del Tratamiento , Evisceración del Ojo , Implantación de Prótesis/métodos , Implantación de Prótesis/efectos adversos
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