J Korean Ophthalmol Soc.  2002 Aug;43(8):1553-1557.

5 cases of Infected Hydroxyapatite Orbital Implant

• You SJ
• Yang HW
• Lee HC
• Kim SJ

Abstract

PURPOSE: To describe the rare condition of an infection of hydroxyapatite orbital implant in five patients who had undergone seemingly uncomplicated evisceration and implantation of hydroxyapatite orbital implant.
METHODS
The infection of hydroxyapatite orbital implant developed from 6 months to 6 years (mean 3 years 4months) after evisceration and from 3months to 6years (mean 2years 7months) after drilling. In all cases, lid swelling, conjunctival injection and implant exposure were observed. In 3 cases, the hydroxyapatite orbital implant was removed and Medpor(R) implantation was done. In 2 cases, the hydroxyapatite orbital implant was removed and dermis fat graft was done simultaneously.
RESULTS
In all five cases the inflammation signs disappeared and conjunctival sac was well formed for artificial eye fitting after treatment.
CONCLUSIONS
We experienced 5 cases of infected hydroxyapatite orbital implant, and treated them successfully.

Keyword

Hydroxyapatite; Infection; Orbital implant

MeSH Terms

Dermis
Durapatite*
Eye, Artificial
Humans
Inflammation
Orbit*
Orbital Implants*
Transplants
Durapatite