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  • Title: Secondary orbital implants after evisceration: a new conjunctiva-sparing technique.
    Author: Hart RH, Barnes E, Dickinson AJ.
    Journal: Ophthalmic Plast Reconstr Surg; 2005 Mar; 21(2):129-32. PubMed ID: 15778667.
    Abstract:
    PURPOSE: To describe a new conjunctiva-sparing technique for secondary orbital implantation after evisceration. METHODS: Two patients with conjunctival cicatrization and a volume-deficient anophthalmic socket had implantation of an intraconal biointegratable implant. This was placed through a lateral canthal approach, after temporary disinsertion of the lateral rectus, thereby avoiding further injury to the conjunctiva. RESULTS: A good surgical outcome was achieved in both patients. There were no intraoperative or postoperative complications, and both have remained stable for nearly 2 years. CONCLUSIONS: Secondary intraconal implantation through the lateral canthal approach is safe and effective and suitable for patients in whom it is desirable to avoid a conjunctival incision.
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