2014
DOI: 10.1097/iop.0b013e31829f3b5c
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Extruded, Partially Disintegrated, Poly-HEMA Orbital Implant (AlphaSphere)

Abstract: A 54-year-old diabetic man underwent enucleation for endophthalmitis. Secondary implantation of a 2-hydroxyethyl methacrylate (HEMA) sphere (AlphaSphere, Addition Technology) was performed 2 weeks later. Six weeks after insertion, noninfectious disintegration of sutured tissue planes represented by Tenon's capsule, rectus muscle, and conjunctiva occurred, requiring removal of the fragmenting implant before uncontrolled extrusion occurred. Histopathologic analysis revealed an absence of infectious pathogens and… Show more

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Cited by 5 publications
(4 citation statements)
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“…Although the behavior of different cells such as cartilage, bone, melanoma on Poly‐HEMA have been under precise investigations, the effect of polymer in preserving RPE cells' nature or stem cells’ features have not yet been studied [Lombello et al, ; Flynn et al, ; Yadav et al, ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although the behavior of different cells such as cartilage, bone, melanoma on Poly‐HEMA have been under precise investigations, the effect of polymer in preserving RPE cells' nature or stem cells’ features have not yet been studied [Lombello et al, ; Flynn et al, ; Yadav et al, ].…”
Section: Discussionmentioning
confidence: 99%
“…This flexible, soft, and water absorbing plastic is the basic component of contact lenses [Chirila, 1993;Seidel and Malmonge, 2000;Olabisi, 2015]. It is also used in implantation of soft tissues, synthetic transplant for gristle and bone, regeneration of neurotic tissue, transmission of drug and etc [Lombello et al, 2000;Flynn et al, 2003;Yadav et al, 2014].…”
mentioning
confidence: 99%
“…However, Yadav and his team presented a case of a 54-year-old diabetic patient who underwent a secondary Alphasphere implant after enucleation due to endophthalmitis. Six weeks later, the implant's deterioration necessi-tated removal, with further investigation revealing it prompted a severe and irreversible host tissue reaction without signs of infection [164]. In a case highlighted by Neimkin et al, a 57-year-old female who underwent enucleation for choroidal melanoma and received an Alphasphere implant faced implant failure after 2 years, despite an initially uneventful recovery.…”
Section: Poly(methylmethacrylate) (Pmma)mentioning
confidence: 99%
“…For instance, Yadav et al presented a case in which a patient with diabetes experienced a significant and irreversible reaction to an Alphasphere implant. This reaction occurred without any signs of infection, suggesting that the implant itself might have triggered an adverse response in the host tissue [ 53 ]. Furthermore, Neimkin et al documented a case in which a patient underwent enucleation for choroidal melanoma and received an Alphasphere implant.…”
Section: Oculoplastic and Orbital Surgery Devicesmentioning
confidence: 99%