The Bioceramic Implant: Evaluation of Implant Exposures in 419 Implants

  title={The Bioceramic Implant: Evaluation of Implant Exposures in 419 Implants},
  author={David R. Jordan and Stephen R. Klapper and Steven M. Gilberg and Jonathan J. Dutton and Amy Wai-yee Wong and Louise A. Mawn},
  journal={Ophthalmic Plastic \& Reconstructive Surgery},
Purpose: To compare the rate of exposure in the immediate 3-month postoperative follow-up period with the rate of exposure after the immediate postoperative period in 419 anophthalmic patients with a bioceramic (aluminum oxide) orbital implant. Methods: This is a retrospective, clinical case series of 419 patients who received a bioceramic orbital implant. All patients who presented to five oculofacial surgeons (D.J., S.G., J.D., S.K., L.M.) from January 1, 2000, to June 1, 2007, who received a… 

The Versatility of the Temporoparietal Fascial Graft (TPFG) in Orbital Implant Exposure

This study provides further supporting evidence for the safety and efficacy of the TPFG and demonstrates the use of this graft in a variety of different clinical situations.

Long-Term Outcomes of Pegged and Unpegged Bioceramic Orbital Implants

Despite potential complications that can occur as late as 10 years, bioceramic porous implants yield satisfactory long-term results and existence of a peg system appears to play a role in the increased rate of late-onset complications.

Exposure Rate of Smooth Surface Tunnel Porous Polyethylene Implants After Enucleation

The theoretical advantage of a smooth anterior surface may indeed lead to a lower rate of exposure compared with standard unwrapped porous materials as demonstrated by the relatively low exposure rate using this implant.

Risk factors for orbital implant exposure after evisceration: A case control study of 93 patients

Porous implant material, presence of infection, phthisical scleral shell, and prior surgery showed higher trend of exposure (Odds ratio >1), but none was conclusive, and larger size of implant was not a risk factor for exposure.

Porous and nonporous orbital implants for treating the anophthalmic socket: A meta-analysis of case series studies

PP implants showed lower chance of exposure than bioceramic implant for anophthalmic socket reconstruction, although the authors cannot rule out the possibility of heterogeneity bias due to the nature and level of evidence of the included studies.

Primary replacement for the management of exposed orbital implant

Primary replacement for management of exposed orbital implant, porous and non-porous, has a high rate of successful outcome even in cases with presumed or confirmed infection.

Hydroxyapatite Orbital Implant in Children Following Enucleation: Analysis of 531 Sockets

Following enucleation in children, long-term outcomes of the HA orbital implant are excellent with favorable patient cosmetic satisfaction and rare complication.

Use of Extraocular Muscle Flaps in the Correction of Orbital Implant Exposure

The experience of treating implant exposure with extraocular muscle flaps to establish a well-vascularized environment that supplies both the wrapping material and the overlying ocular surface tissue can work as a good strategy to manage or to prevent orbital implant exposure.



The Bioceramic Orbital Implant: Experience With 107 Implants

The Bioceramic orbital implant represents an alternative porous orbital implant that is biocompatible with orbital tissues, easy to manufacture, structurally strong, and less expensive than other commercially available porous orbital implants (e.g., Bio-Eye hydroxyapatite implant).

Exposure rate of hydroxyapatite orbital implants a 15-year experience of 802 cases.

Complications of Orbital Implants: A Review of 542 Patients Who Have Undergone Orbital Implantation and 275 Subsequent Peg Placements

Should patients decide to undergo pegging, evidence sides strongly for the use of a titanium peg and sleeve system over the other peg types.

Experience with 120 Synthetic Hydroxyapatite Implants (FCI3)

The FCI3 synthetic hydroxyapatite is a less costly alternative form of hydroxyAPatite currently in use in many parts of the world and problems and complications encountered with its use are similar to those seen with the Bio-Eye Integrated Orbital Implants.

Problems After Evisceration Surgery With Porous Orbital Implants: Experience With 86 Patients

  • D. R. Jordan
  • Medicine
    Ophthalmic plastic and reconstructive surgery
  • 2004
Although primary evisceration with posterior sclerotomies and placement of a porous orbital implant is an accepted technique for treating a variety of end-stage eye diseases, patients should be cautioned about an increased likelihood of problems and potential need for additional surgeries if pegging is considered.

Integrated Orbital Implants—A Comparison of Hydroxyapatite and Porous Polyethylene Implants

The complication rates and PESS scores were identical between the HA and PP implant groups, and the implant mobility was better in the PP group.

Coralline Hydroxyapatite Orbital Implant (Bio-Eye): Experience with 158 Patients

The Bio-Eye orbital implant represents a porous orbital implant that is biocompatible with orbital tissues and allows fibrovascular ingrowth and improved motility when coupled to the overlying artificial eye.

Evaluation of efficacy and complications: primary pediatric orbital implants after enucleation.

Orbital implantation after enucleation is successful in the pediatric population and complications are minimal, and Hydroxyapatite implants were not associated with unacceptable complications in this pediatric population.