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NR. 1/2006
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Enukleacja,
ewisceracja – zastosowanie implantów oczodołowych
The Enucleation, Evisceration – Orbital Implants Applications
Radosław Różycki1,
Piotr Przyborowski2, Andrzej Stankiewicz1
1Klinika Okulistyczna Wojskowego Instytutu Medycznego
Centralnego Szpitala Klinicznego Wojskowej Akademii Medycznej w
Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz
2Oddział Okulistyczny 108. Szpitala Wojskowego SPZOZ
z Przychodnią w Ełku
Ordynator: lek. Andrzej Gierczak |
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| Summary: |
Enucleation and
evisceration are acceptable therapeutic modality used
for end-stage ocular diseases unresponsive to another
treatment. A tissue volume shortage in the orbit is
consequence of enclueation and evisceration. The
surgical procedure to remove eye should be performed
with efforts to minimize cosmetic deformity. The
anophthalmic socket must be able to hold a prosthesis
and allow movement of the prosthesis that matches the
movements of the contralateral eye. The eyelids also
must be positioned so their movement matches the
contralateral eyelids. To achieve this, a socket with
the following characteristics is required: a centrally
placed buried, inert implant of adequate size attached
to the extraocular muscles, deep fornices, a lower
eyelid that can support a prosthesis, a superior eyelid
wih position and movement symmetric to te normal eyelid,
prothesis and implant volume equal to that of the
natural eye, an implant peg that couples with the
prothesis. These characteristic apply to patients
undergoing enucleation and patients undergoing
evisceration. Many different implants and techniques can
be used to meet these criteria. The purpose of this
article is to present the enucleation and evisceration
procedures and orbital implants applications with
special focus on porous implants. |
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| Key words: |
enucleation, evisceration,
orbital implants, hydroxyapatite. |
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