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NR 7-9/2006
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Ocena wyników
operacji usunięcia gałki ocznej z wszczepem oczodołowym u dzieci
i młodzieży
Evaluation of results of
enucleations with orbital implant in children and adolescents
Wojciech Hautz, Mirosława Grałek, Beata
Karczmarewicz, Krystyna Kanigowska, Dorota Klimczak-Ślączka,
Barbara Chipczyńska
Z Kliniki Okulistyki Instytutu „Pomnik – Centrum Zdrowia
Dziecka” w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Purpose: The aim of
the research is the assessment of results of enucleation
with orbital implant in children.
Material and methods: Examinations included the
group of 99 children between 6 months and 19 years of
age. The examined group consisted of 39 boys (39.4%) and
60 girls (60.6%). 96 eyes were removed because of
non-regressive retinoblastoma (despite applied treatment),
two eyes with buphtalmus (with no light perception), as
a result of glaucoma, and one case of medulloepithelioma.
The applied implants were: Castroviejo – in 28 patients,
Medpor – in 24 patients, Hydroxyapatite – 46 patients.
In one patient was applied Baush&Lomb orbital implant.
Results: In 91 patients (91.9%) no significant
complications occurred. In 2 patients (2%), the
hemorrhage occurred during the surgery. Postoperative
complications included: in 6 patients (6.1%) exposition
of orbital implant was observed; in one patient the
exposition was enlarging which led to removal of the
implant; in 2 patients with implant exposition (2%)
inflammatory granuloma occurred on the edge of the
exposition. In one patient (1%) cyst of conjunctiva in
the postoperative scar area occurred 3 months after
operation.
Conclusions: Enucleation with orbital implant
enables normal development of the orbit and improves
cosmetic effect. The frequency of complications depends
on type of applied orbital implant. |
| Słowa kluczowe: |
usunięcie gałki ocznej,
wszczep oczodołowy, siatkówczak. |
| Key words: |
enucleation, orbital
implant, retinoblastoma. |
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