Long-term surgical outcomes of porous polyethylene orbital implants: a review of 314 cases

PURPOSE: This study reports on the long-term surgical outcomes after the insertion of porous Medpor orbital implants into anophthalmic sockets. METHODS: A retrospective chart review of 314 eyes from 314 patients who underwent evisceration, enucleation and secondary procedures using Medpor orbital implants was completed focusing on implant-associated complications and their corrective methods as surgical outcomes. RESULTS: The mean follow-up was 50 months (range 6–107 months). The most common complication was blepharoptosis (n=33, 10.5%). Other postoperative complications were exposure (n=14, 4.5%) and implant infection (n=3, 1%). The complications were successfully managed by surgical repair and/or conservative care. CONCLUSION: Using Medpor resulted in similar surgical outcomes, in terms of the types and frequencies of complications, as other kinds of porous orbital implants.