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Complications with nonintegrated and integrated spheres in anophthalmic socket reconstruction

Purpose: To observe the complications with spheres of different types of material used in anophthalmic cavity reconstruction. Methods: 117 patients with anophthalmic cavity were retrospectivelly studied. The minimum follow-up was 6 months. We correlated sex, type of used sphere, causes of eye loss, sphere diameter, surgery done and complications (dehiscence and sphere expulsion). Results: Dehiscence occurred mainly with vegetal polymer spheres. The integrated implants had earlier sphere expulsion than those nonintegrated and the latter extruded more than the others. The polyethylene sphere (Polipore) presented less complications than the others. Conclusion: Nowadays we consider the polyethylene sphere the best choice to fill the anophthalmic socket.

Cavity implant; Dehiscence; Expulsion; Anoph-thalmic socket; Complications


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