Purpose

To report the successful use of a novel orbital implant (EZYPOR) featuring an innovative suturing platform in a patient undergoing primary enucleation for advanced uveal melanoma. The report focuses on the surgical advantages of this implant in facilitating muscle attachment and enhancing post-operative prosthesis mobility.

---

Methods

A 60-year-old male presented with painless progressive visual loss (hand motion level) in the right eye over 20 days. Initial examination revealed dense vitreous hemorrhage and intraocular inflammation. B-scan ultrasonography identified a large intraocular mass (12.33 x 9.41 mm), and contrast-enhanced orbital MRI showed T1-hyperintensity and T2-hypointensity, pathognomonic melanoma. PET-CT confirmed no distant metastasis.Due to the tumor size and non-salvageable vision, primary enucleation was performed. To optimize the cosmetic outcome and prosthetic motility, an EZYPOR implant was selected. During the procedure, the four rectus muscles were directly sutured to the implant’s integrated suturing platforms.

---

Results

This innovative design allowed for secure and anatomically precise muscle fixation without the need for additional wrapping materials. Post-operative recovery was uneventful, with excellent implant centering and superior prosthesis movement observed during follow-up.

---

Conclusion

The primary goal of orbital reconstruction after enucleation is to restore volume and provide natural movement to the prosthesis. Traditional non-porous implants often require wrapping with autologous or synthetic materials to facilitate muscle attachment, which can increase surgical time and risk. The EZYPOR implant offers a significant advancement with its integrated suturing platform. Allows direct fixation of extraocular muscles, significantly improving the range of motion for the final prosthesis. Surgical efficiency eliminates the need for wrapping materials, simplifying the surgical technique.In this case, despite the advanced nature of the melanoma, the use of the EZYPOR implant ensured high-quality orbital rehabilitation.

---

Additional Authors

First name	Last name	Base Hospital / Institution
MEHMET SERHAT	MANGAN	Istanbul University Istanbul Faculty of Medicine, Department of Ophthalmology

↑ Back to top