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Revista Cubana de Oftalmología

versión impresa ISSN 0864-2176versión On-line ISSN 1561-3070

Resumen

MARTINEZ SUAREZ, Nereyda et al. Orbital implants of HAP-200: Experience in 100 cases. Rev Cubana Oftalmol [online]. 2002, vol.15, n.1. ISSN 0864-2176.

We explain our experience with the first 100 cases in whom orbital implants made in Cuba with coralline porous hydroxyapatite (PHA-200) were placed between 1995 and 2000. Our casuistics comprised patients aged 5-65. It was observed a predominance of the age groups 15-35 with 63 cases. 72 % were males. Traumas prevailed as the main cause of eyeball loss (80 %). 5 types of surgical techniques were performed: 22 enucleations, 46 eviscerations (26 with and 9 without corneal conservation, respectively, 11 with scleral cuadrisection) and 32 reconstructions of old cavities (secondary implants).The postoperative symptoms and signs were local and mild in most of the patients that were operated on and they disappeared during the first week. 12 conjunctival deshicences, 10 implant exposures, 2 hypercorrections, 1 hypocorrection and 1 conjunctival cyst were observed among the complications. The orbital scintigraphy showed fibrovascular growth in all the patients under study. The evaluated cosmetic results were the conservation of the orbital sulcus and the motility of the strump that were considered as satisfactory, as well as the tolerance to the implanted material that was good in 93 % of the cases after 2.5 years.

Palabras clave : ORBITAL IMPLANTS; LENS IMPLANTATION; INTRAOCULAR; OPHTHLAMOLOGIC SURGICAL PROCEDURES; HYDROXYAPATITES [therapeutic use]; SURGERY; PLASTIC; EYE; ARTIFICIAL.

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