Complications of Two Scleral Flaps Evisceration Technique: Analysis of 201 Procedures

Smith, Ricardo J.; Prazeres, Sandra; Fauquier, Stephan; Malet, T.

doi:10.1097/iop.0b013e3181cff671

Cited by 17 publications

(19 citation statements)

References 14 publications

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“…2,3,6,7,9,[13][14][15][16][17][18][19][20][21] The wide range of complication rates reported is likely due to variability in patient demographics, underlying ocular pathology, surgical technique (including type and size of implant, wrapping material, and presence or absence of sclerotomies), and duration of follow-up (with longer follow-up being associated with a higher incidence of complications). 6,9,13,14,16,21 Collectively, recent reports have an average incidence of 8.6% for implant exposure, 1.0% for surgical site infection, and 2.5% for superior sulcus deformity. 2,3,6,7,9,[13][14][15][16][17][18][19][20][21] Our study found that primary resident cases had a below-average incidence of complications.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 Typical complications of evisceration include infection and wound dehiscence with implant exposure or extrusion, as well as minor surgical sequelae such as eyelid malposition, superior sulcus deformity, enophthalmos, and cyst formation. 7,[13][14][15][16][17][18][19][20][21] Current literature explores various surgical techniques, efforts to minimize complications, and long-term outcomes of anophthalmic sockets. Many of these published works arise from training institutions.…”

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confidence: 99%

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Evaluating Resident Training in Oculoplastic Surgery: A Case Series of 104 Eviscerations

2018

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Purpose The aim of this study is to evaluate resident surgical performance based on complications after ocular evisceration. Methods A retrospective chart review of eviscerations performed between October 2011 and May 2017 by ophthalmology residents as the primary or assistant surgeon under the guidance of a single oculofacial plastic surgeon (M.O.G.) was completed. Data collected included reason for evisceration, resident participation in the case and resident's month of oculoplastic training, surgical technique, subsequent complications, and duration of follow-up. Results There were no significant differences in complication rates or surgical sequelae in resident-led versus attending-led surgeries. The complication rate for all cases in total was 5.77%. A slight negative correlation existed between the resident's month of training and the presence of postoperative complications. The number of adverse events was found to be significantly correlated with the duration of patient follow-up. Discussion Ocular eviscerations performed by ophthalmology residents as primary surgeons achieve outcomes equivalent to published reports, suggesting ocular eviscerations are a safe, effective procedure wherein residents can refine surgical skills. Some surgical sequelae may be linked to particular surgeons, implying evisceration outcomes can be used to assess resident surgical performance. Fewer adverse events arose as the resident's length of oculoplastic training increased, but this finding did not reach significance. Larger studies are needed to explore these trends.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Evaluating Resident Training in Oculoplastic Surgery: A Case Series of 104 Eviscerations

2018

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“…Also in 2007, Masdottir and Sahlin reported their experience using a split-sclera technique similar to Massry's and Hold's, where 5% developed exposure or extrusion of implant, but 78% of the patients felt pleased or very pleased with the operation 77. Most recently in 2011, Smith et al 78. reported their experience with Massry's and Hold's technique.…”

Section: Sclerotomymentioning

confidence: 99%

Evisceration in the modern age

Phan

Hwang

McCulley

2012

Middle East Afr J Ophthalmol

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Evisceration is an ophthalmic surgery that removes the internal contents of the eye followed usually by placement of an orbital implant to replace the lost ocular volume. Unlike enucleation, which involves removal of the entire eye, evisceration potentially causes exposure of uveal antigens; therefore, historically there has been a concern about sympathetic ophthalmic (SO) associated with evisceration. However, critical review of the literature shows that SO occurs very rarely, if ever, as a consequence of evisceration. Its clinical applications overlap with those of enucleation in cases of penetrating ocular trauma and blind painful eyes, but it is absolutely contraindicated in the setting of suspected intraocular malignancy and may be preferred for treatment of end-stage endophthalmitis. From a technical standpoint, traditional evisceration has a limitation in the orbital implant size. Innovations with scleral modification have overcome this limitation, and accordingly, due to its simplicity, efficiency, and good cosmetic results, evisceration has once again been gaining popularity.

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“…It is effective in volume replacement and implant exposure. 1,10,16,17 But there are some limitations of two-scleral flaps evisceration method. Forward displacement of both flaps for overlapping distends horizontal and vertical muscles so antagonist muscles counteract against the other.…”

Section: -13mentioning

confidence: 99%

Implant Motility in Two-Scleral Flaps Evisceration

Ciftci¹,

Dag²,

Dogan³

et al. 2015

Turkiye Klinikleri J Ophthalmol

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Complications of Two Scleral Flaps Evisceration Technique: Analysis of 201 Procedures

Abstract: The 2 scleral flaps evisceration technique is a simple, safe, and useful procedure that enables filling the orbital socket with an adequate orbital implant size.

Cited by 17 publications

References 14 publications

Evaluating Resident Training in Oculoplastic Surgery: A Case Series of 104 Eviscerations

Evaluating Resident Training in Oculoplastic Surgery: A Case Series of 104 Eviscerations

Evisceration in the modern age

Implant Motility in Two-Scleral Flaps Evisceration

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