Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
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Eye amputations during 19 years at Sahlgrenska University Hospital.
Author: Karin Svedberg
ePoster Number: 233
There was a high frequency of serious complications after eviscerations and enucleations in a previously unpublished material from the Eye Department at Sahlgrenska University Hospital, 1999-2007. Out of 100 implants, 28 were exposed and 9 had to be removed. Our impression was that after that period complications were rare. The present study aimed at investigating if the impression was correct and if so the reason/s for it.
We carried out a retrospective study of all patients having undergone an enucleation or an evisceration 2008-2017. Data were collected from medical records.
206 patients were operated, 138 eviscerations and 68 enucleations, 128 with implants. There were 2 spontaneous extrusions of the implant, one implant exposure and two ruptures of the surgical wound. No common denominator could be found for these 5 complications. Comparing the two periods there had been a change in implants used and for eviscerations in surgical technique. From a multitude of different implants to only using polypropylene implants with drilled channels for polyester sutures for enucleations and silicone implants for eviscerations. In eviscerations, a split sclera technique with improved coverage of the implant was introduced.
There was a clinically significant decrease in the frequency of serious complications after eye amputating surgeries through correct choice of implant and surgical technique.
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Abstract ID: 21-124