Abstract：
OBJECTIVE: The purpose of this study is to report the results in a series of acrylic orbital implant placements without the use of wrapping material.
METHODS: We retrospectively reviewed the records of the patients who underwent enucleation with acrylic orbital implant insertion without scleral wrapping at the Department of Ophthalmology, Poznań University of Medical Sciences, Poland, between 2013 and 2020.
RESULTS: There were 192 patients: 102 women and 90 men, mean age: 60 years (range: 13-90 years). In the majority of cases, the reason for enucleation was uveal melanoma (148 patients-77.1%), followed by secondary glaucoma in 22 patients (11.5%) and painful, phthisical eye in 16 (8.3%). The median follow-up was 23 months (range: 1-96 months). The stability of the implants was satisfactory in the majority of cases, and there were no cases of implant migration identified during the study period. We noted a total of 4 (2%) implant exposures. Other postoperative complaints included eyelid malposition-21 patients (11%), Tenon\'s capsule thinning (15 patients-7.8%) and post-enucleation eye socket syndrome (PEES)-7 patients (3.6%). The rate of postoperative complications was associated only with a history of previous ocular surgery (P=0.006).
CONCLUSIONS: The stability and functional outcomes of unwrapped acrylic orbital implants in this group of patients were satisfactory during the follow-up period.
METHODS: We retrospectively reviewed the records of the patients who underwent enucleation with acrylic orbital implant insertion without scleral wrapping at the Department of Ophthalmology, Poznań University of Medical Sciences, Poland, between 2013 and 2020.
RESULTS: There were 192 patients: 102 women and 90 men, mean age: 60 years (range: 13-90 years). In the majority of cases, the reason for enucleation was uveal melanoma (148 patients-77.1%), followed by secondary glaucoma in 22 patients (11.5%) and painful, phthisical eye in 16 (8.3%). The median follow-up was 23 months (range: 1-96 months). The stability of the implants was satisfactory in the majority of cases, and there were no cases of implant migration identified during the study period. We noted a total of 4 (2%) implant exposures. Other postoperative complaints included eyelid malposition-21 patients (11%), Tenon\'s capsule thinning (15 patients-7.8%) and post-enucleation eye socket syndrome (PEES)-7 patients (3.6%). The rate of postoperative complications was associated only with a history of previous ocular surgery (P=0.006).
CONCLUSIONS: The stability and functional outcomes of unwrapped acrylic orbital implants in this group of patients were satisfactory during the follow-up period.
摘要：
目的：本研究的目的是报告在不使用包装材料的情况下进行一系列丙烯酸眼眶植入物放置的结果。
方法：我们回顾性回顾了在眼科接受无巩膜包裹的丙烯酸眼眶植入物摘除的患者的记录，波兹南医科大学，波兰,2013年至2020年。
结果：共有192名患者：102名女性和90名男性，平均年龄：60岁（范围：13-90岁）。在大多数情况下,摘除的原因是葡萄膜黑色素瘤（148例患者-77.1%），其次是继发性青光眼22例（11.5%）和疼痛，Phthisicaleyein16(8.3%).中位随访时间为23个月（范围：1-96个月）。在大多数情况下，植入物的稳定性令人满意，并且在研究期间没有发现植入物迁移的病例。我们注意到总共4次(2%)植入物暴露。其他术后主诉包括眼睑错位-21例患者(11%)，Tenon’s囊变薄（15例-7.8%）和眼球摘除后眼窝综合征（PEES）-7例（3.6%）。术后并发症的发生率仅与既往眼科手术史相关(P=0.006)。
结论：在随访期间，该组患者未包裹的丙烯酸眼眶植入物的稳定性和功能结局令人满意。
方法：我们回顾性回顾了在眼科接受无巩膜包裹的丙烯酸眼眶植入物摘除的患者的记录，波兹南医科大学，波兰,2013年至2020年。
结果：共有192名患者：102名女性和90名男性，平均年龄：60岁（范围：13-90岁）。在大多数情况下,摘除的原因是葡萄膜黑色素瘤（148例患者-77.1%），其次是继发性青光眼22例（11.5%）和疼痛，Phthisicaleyein16(8.3%).中位随访时间为23个月（范围：1-96个月）。在大多数情况下，植入物的稳定性令人满意，并且在研究期间没有发现植入物迁移的病例。我们注意到总共4次(2%)植入物暴露。其他术后主诉包括眼睑错位-21例患者(11%)，Tenon’s囊变薄（15例-7.8%）和眼球摘除后眼窝综合征（PEES）-7例（3.6%）。术后并发症的发生率仅与既往眼科手术史相关(P=0.006)。
结论：在随访期间，该组患者未包裹的丙烯酸眼眶植入物的稳定性和功能结局令人满意。
