• 
• 
• 
• 
  • Ogłoszenia
  • Plan wydawniczy
  • Regulamin ogłaszania prac
  • Zasady recenzowania i recenzenci
• 
• 
• 
• 

Wydanie 1/2006

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

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.

Keywords: enucleation, evisceration, orbital implants, hydroxyapatite.

powrót