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Risk Factors for Orbital Implant Extrusion after Evisceration

This study analyzed risk factors for extrusion of orbital implants after evisceration by comparing patients with and without implant extrusion. Methods: We retrospectively reviewed the medical records of patients who underwent evisceration with primary implant placement by a single surgeon from Janu...

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Autores principales: Kim, Ju-Mi, Sung, Jae-Yun, Lim, Hyung-Bin, Choi, Eun-Jung, Lee, Sung-Bok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347078/
https://www.ncbi.nlm.nih.gov/pubmed/34362115
http://dx.doi.org/10.3390/jcm10153329
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author Kim, Ju-Mi
Sung, Jae-Yun
Lim, Hyung-Bin
Choi, Eun-Jung
Lee, Sung-Bok
author_facet Kim, Ju-Mi
Sung, Jae-Yun
Lim, Hyung-Bin
Choi, Eun-Jung
Lee, Sung-Bok
author_sort Kim, Ju-Mi
collection PubMed
description This study analyzed risk factors for extrusion of orbital implants after evisceration by comparing patients with and without implant extrusion. Methods: We retrospectively reviewed the medical records of patients who underwent evisceration with primary implant placement by a single surgeon from January 2005 to December 2019 at the Chungnam National University Hospital. Age, sex, underlying systemic diseases, axial length of the fellow eye, the cause of evisceration, endophthalmitis type, implant type and size, and preoperative computed tomography findings were evaluated. Logistic regression analysis was used to identify the risk factors for implant extrusion. Results: Of the 140 eyes of 140 patients, extrusion occurred in five eyes (3.6%). Endophthalmitis (odds ratio (OR), 15.49; 95% confidence interval (CI), 1.70 to 2038.56; p = 0.010), endogenous endophthalmitis (OR, 18.73; 95% CI, 3.22 to 125.21, p = 0.002), orbital cellulitis (OR, 320.54; 95% CI, 29.67 to 44801.64; p < 0.001), implant size (OR, 0.50; 95% CI, 0.30 to 0.79; p = 0.004), and hydroxyapatite for the implant (OR, 0.07; 95% CI, 0.00 to 0.66; p = 0.016) were risk factors for implant extrusion in univariate logistic regression analysis. Multiple logistic regression analysis identified orbital cellulitis as the only risk factor for extrusion (OR, 52.98; 95% CI, 2.18 to 15367.34; p = 0.009). Conclusions: Evisceration with primary orbital implantation is a feasible option in endophthalmitis, but the risk of extrusion should be taken into consideration. When performing evisceration in a patient with orbital cellulitis, secondary implantation should be carried out only after any infection is controlled.
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spelling pubmed-83470782021-08-08 Risk Factors for Orbital Implant Extrusion after Evisceration Kim, Ju-Mi Sung, Jae-Yun Lim, Hyung-Bin Choi, Eun-Jung Lee, Sung-Bok J Clin Med Article This study analyzed risk factors for extrusion of orbital implants after evisceration by comparing patients with and without implant extrusion. Methods: We retrospectively reviewed the medical records of patients who underwent evisceration with primary implant placement by a single surgeon from January 2005 to December 2019 at the Chungnam National University Hospital. Age, sex, underlying systemic diseases, axial length of the fellow eye, the cause of evisceration, endophthalmitis type, implant type and size, and preoperative computed tomography findings were evaluated. Logistic regression analysis was used to identify the risk factors for implant extrusion. Results: Of the 140 eyes of 140 patients, extrusion occurred in five eyes (3.6%). Endophthalmitis (odds ratio (OR), 15.49; 95% confidence interval (CI), 1.70 to 2038.56; p = 0.010), endogenous endophthalmitis (OR, 18.73; 95% CI, 3.22 to 125.21, p = 0.002), orbital cellulitis (OR, 320.54; 95% CI, 29.67 to 44801.64; p < 0.001), implant size (OR, 0.50; 95% CI, 0.30 to 0.79; p = 0.004), and hydroxyapatite for the implant (OR, 0.07; 95% CI, 0.00 to 0.66; p = 0.016) were risk factors for implant extrusion in univariate logistic regression analysis. Multiple logistic regression analysis identified orbital cellulitis as the only risk factor for extrusion (OR, 52.98; 95% CI, 2.18 to 15367.34; p = 0.009). Conclusions: Evisceration with primary orbital implantation is a feasible option in endophthalmitis, but the risk of extrusion should be taken into consideration. When performing evisceration in a patient with orbital cellulitis, secondary implantation should be carried out only after any infection is controlled. MDPI 2021-07-28 /pmc/articles/PMC8347078/ /pubmed/34362115 http://dx.doi.org/10.3390/jcm10153329 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Ju-Mi
Sung, Jae-Yun
Lim, Hyung-Bin
Choi, Eun-Jung
Lee, Sung-Bok
Risk Factors for Orbital Implant Extrusion after Evisceration
title Risk Factors for Orbital Implant Extrusion after Evisceration
title_full Risk Factors for Orbital Implant Extrusion after Evisceration
title_fullStr Risk Factors for Orbital Implant Extrusion after Evisceration
title_full_unstemmed Risk Factors for Orbital Implant Extrusion after Evisceration
title_short Risk Factors for Orbital Implant Extrusion after Evisceration
title_sort risk factors for orbital implant extrusion after evisceration
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8347078/
https://www.ncbi.nlm.nih.gov/pubmed/34362115
http://dx.doi.org/10.3390/jcm10153329
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