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. 2015 Apr-Jun;22(2):226-9.
doi: 10.4103/0974-9233.150645.

Four petals evisceration for atrophia bulbi

Molham A Elbakary  1
Affiliations

Four petals evisceration for atrophia bulbi

Molham A Elbakary. Middle East Afr J Ophthalmol. 2015 Apr-Jun.

Abstract

Purpose: To study the use of four petals evisceration in atrophia bulbi to allow insertion of large orbital implant.

Materials and methods: An interventional case series. All cases were atrophia bulbi. The axial lengths (AL) of atrophic and contralateral normal eye were measured. It was planned to use implant 3 mm smaller than AL of the contralateral normal eye. Four petals evisceration was used in all cases.

Results: Twenty cases were included. The mean age was 27.08 ± 16.07 years. The mean axial length (AL) of atrophic eyes was 16.97 ± 1.42 mm. In 75% of cases, the planned implant was inserted. In all cases, the implant diameter was larger than AL of atrophic eye by a mean of 2.57 ± 0.64 mm. The AL of atrophic eye did not affect the implant size. The mean follow-up period was 22.4 ± 10.1 months. Implant exposure was not recorded in any case. Volume deficiency was recorded in 2 cases (10%).

Conclusions: Four petals evisceration facilitated the use of suitable sized implant in atrophia bulbi with minimal complications.

Keywords: Atrophia Bulbi; Evisceration; Scleral Modification.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a and b) Case of right atrophia bulbi, preoperative (c) intraoperative picture after fashioning the scleral flaps (d) postoperative, after fitting of the prosthesis
See this image and copyright information in PMC

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