Treatment of Recalcitrant Orbital Implant Exposure using Upper Tarsoconjunctival Flap.
- Author:
Chungkwon YOO
1
;
Min Soo PARK
;
Tae Soo LEE
Author Information
1. Department of Ophthalmology, College of Medicine, Korea University, Korea. tsoooo@hanmail.net
- Publication Type:Case Report
- Keywords:
Exposure;
Orbital implants;
Tarsoconjunctival flap
- MeSH:
Dermis;
Eyelids;
Female;
Follow-Up Studies;
Humans;
Orbit*;
Orbital Implants*;
Transplants
- From:Journal of the Korean Ophthalmological Society
2001;42(12):1787-1792
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study is to report a case of recalcitrant exposure of Medpor(R) orbital implant which required the use of an upper eyelid tarsoconjunctival flap. METHOD: A six year-old female patient presented with re-exposure of Medpor(R) orbital implant after 2 previous dermis grafts had failed. The downgrown conjunctival epithelial tissues were cryocoagulated. A fornix-based tarsoconjunctival flap was fashioned from the upper lid, inverted and placed over the sclera-covered exposed implant. After placement of a conformer, tarsorrhapy was done. The flap was divided with release of tarsorrhapy as a second stage procedure 4 weeks after the primary surgery. RESULT: The previously exposed implant remained covered and no other complication was observed during a one-year follow-up period. CONCLUSION: Upper tarsoconjunctival flap may be an excellent surgical method in treatment of recurrent exposure of orbital implants refractory to conventional therapies.
