Complication of Primary Placement of Motility Pot in Porou Polyethylene Implant During Enucleation Original Reearch Article

Purpoe To evaluate the complication aociated with the primary placement of a motility coupling pot (MCP) in pherical porou polyethylene (PP) implant at the time of enucleation. Deign Retropective, interventional cae erie. Method The record of all patient who had undergone primary enucleation and pherical PP implant with MCP inertion, and who were followed for at leat ix month were reviewed. The MCP wa crewed to a wrapped implant to protrude 3 mm to 4 mm anteriorly. After placing the implant into the orbit, the extraocular mucle were utured to the implant, and the Tenon capule and conjunctiva were cloed onto the MCP. When the MCP wa not expoed pontaneouly within two month after urgery, it wa externalized with a conjunctival cut-down procedure. Reult The tudy included 52 patient (29 male, 23 female; age range, three to 76 year). The MCP became expoed pontaneouly in 10 patient (19%). In the early potoperative period, we recorded nine complication in even patient (13%), which might be related to primary MCP placement. Thee included prominent MCP decentration aociated with implant motility retriction (6%), preeptal celluliti (4%), and conjunctival prolapu (8%). An ocular prothei wa fit uccefully onto the MCP in 51 patient. During the late period, 22 complication occurred in 15 patient (29%), including exceive dicharge (15%), MCP decentration (4%), implant expoure (6%), implant infection (2%), pyogenic granuloma (8%), conjunctival overgrowth over the MCP (2%), conjunctival dicoloration (4%), and lax eyelid yndrome (2%). Mean follow-up time wa 34 month (range, ix to 68 month). Concluion Although MCP placement in the pherical PP implant during enucleation i a ueful technique, it may be aociated with complication uch a MCP decentration, exceive dicharge, expoure, and infection of the implant.