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Article
July 1969

Human Bank Scleral PatchFor Repair of Exposed or Extruded Orbital Implants

Author Affiliations

Indianapolis
From the Department of Ophthalmology, Indiana University School of Medicine, Indianapolis.

Arch Ophthalmol. 1969;82(1):83-86. doi:10.1001/archopht.1969.00990020085020
Abstract

WHEN a buried orbital implant becomes uncovered postoperatively, the end result, without prompt intervention, is nearly always extrusion of the implant. Early postoperative extrusion is usually caused by edema, infection, hemorrhage, or faulty technique. Late extrusion usually results from contracture of orbital tissues causing either a rupture or melting away of tissues in front of the implant.1 Extrusion may occur weeks, months, or even years after insertion of an implant. Repair, when this event occurs early or late, is complicated by the fact that immediate resuturing of the orbital tissue layers over the implant, even after careful dissection, can lead to re-extrusion, or if the implant is retained, to unsightly socket contraction.

In order to reduce tissue tension associated with the repair of an exposed or extruded orbital implant and thereby eliminate the complications caused by such tension, a new technique employing preserved human sclera has been devised.

References
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Fasanella, R.M. (ed.): Complications in Eye Surgery , Philadelphia: W.B. Saunders Co., 1957, p 300.
2.
King, J.H., Jr.; McTique, J.W.; and Meryman, H.T.:  Simple Method of Preservation of Corneas for Lamellar Keratoplasty , Amer J Ophthal 53:445-449 ( (March) ) 1963.
3.
Callahan, A.: Reconstructive Surgery of the Eyelids and Adnexa , Birmingham, Ala: Aesculapius Publishing Co., 1966, p 305.
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Wilson, F.M.:  Homografts of Preserved Sclera in Retinal Detachment Surgery , Arch Ophthal 72:212-218 ( (Aug) ) 1964.Article
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Goldberg, M.F., and Ryan, S.J.:  Intercalary Staphyloma in Marfan's Syndrome , Amer J Ophthal 65:329-334 ( (March) ) 1969.
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Bodian, M.:  Repair of Ptosis Using Human Sclera , Amer J Ophthal 65:352-358 ( (March) ) 1968.
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