Postenucleation socket syndrome - clinical manifestations and surgical treatment
Postenukleacijski sindrom - klinični znaki in zdravljenje

english

2010

volume 79, suplement

Adverse Effects   Eye Enucleation   Eye, Artificial   therapy

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background: Postenucleation socket syndrome (PSS) is a well recognized late complication of the enucleation surgery. The underlying pathophysiology is notwell established. The most common causes of PSS are inadequate implant selection and inadequate maintenance of orbital sac. Clinical manifestations of PSS are numerous and treatement is individual, conservative or surgical. Patients and methods: This article represents our experience in PSS treatment at the Eye Hospital Ljubljana in form of retrospective study of 88 patients treated due to PSS. 60 men and 28 women averaging 37 years were treated in ourinstitution between 1990 and 2005, PSS evolved on average 19.5 years after the enucleation. Causes included shallow anterior fornix in 46.6 %, atrophy ofthe orbital tissue in 26.0 %, symblepharon in 8.0 %, dehiscence of conjunctiva in 6.8 %, recidivant conjunctivitis in 5.7 %, granuloma and eyelidlaxity in 1.1 %. We performed secondary implantation in 38.6 %, deepening of the fornix in 34.1 %, synechiolysis in 20.5 % and other procedures in 6.8 %. In 62 cases (70 %) results were good or excellent and in 24 cases (27 %) additional procedures were required. Criteria of success were good position and mobility of eye prosthesis. All the procedures were performed by the same surgeon who also evaluated clinical results. Patients were monitored daily first 7 to 10 days. 6-8 weeks after the final procedure prosthesis was inserted. Conclusions: Clinical manifestations of PSS are various, so the treatment is individual. Additional surgical procedures are often required to achieve the best possible functional and esthetic result.

23.06.2011