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Frequent prosthesis refitting to prevent implant exposure in patients with retinoblastoma.

Abstract

PURPOSE

To examine the effects of prosthesis refitting on porous orbital implant exposure in 100 patients who underwent enucleation for retinoblastoma.

METHODS

Parameters analyzed included patient's age at enucleation, gender, implant type, frequency of prosthesis adjustment, and use of chemotherapy or radiation. The main outcome measures consisted of the condition of the fornices, condition of the implant (including conjunctival thinning), and condition and functioning ability of the prosthesis.

RESULTS

Increased frequency of visits with the ocularist and number of prosthesis adjustments and refits significantly improved the condition of the implant, fornices, and prosthesis. The patient's age at enucleation, gender, and use of chemotherapy or radiation did not have a significant effect on any of the outcome variables. The condition of the implant was significantly better for porous polyethylene than hydroxyapatite implants (P = .024). No implant exposures were observed.

CONCLUSION

Frequent adjustments and refits by the ocularist are significantly associated with a reduced rate of conjunctival thinning and complete avoidance of implant exposure in patients undergoing enucleation for retinoblastoma. These findings are particularly significant for this population, which historically has demonstrated a high rate of implant exposure.

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  • Authors+Show Affiliations

    ,

    Rosalind Franklin University of Medicine and Science BKW, North Chicago, Illinois, USA.

    , , , , , , ,

    Source

    MeSH

    Eye Enucleation
    Humans
    Orbital Implants
    Polyethylene
    Prosthesis Implantation
    Retinoblastoma

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    20795600

    Citation

    Williams, Basil K., et al. "Frequent Prosthesis Refitting to Prevent Implant Exposure in Patients With Retinoblastoma." Journal of Pediatric Ophthalmology and Strabismus, vol. 48, no. 4, 2011, pp. 238-46.
    Williams BK, Schefler AC, Garonzik SN, et al. Frequent prosthesis refitting to prevent implant exposure in patients with retinoblastoma. J Pediatr Ophthalmol Strabismus. 2011;48(4):238-46.
    Williams, B. K., Schefler, A. C., Garonzik, S. N., Gologorsky, D., Shi, W., Cavalcante, L. L., ... Murray, T. G. (2011). Frequent prosthesis refitting to prevent implant exposure in patients with retinoblastoma. Journal of Pediatric Ophthalmology and Strabismus, 48(4), pp. 238-46. doi:10.3928/01913913-20100818-06.
    Williams BK, et al. Frequent Prosthesis Refitting to Prevent Implant Exposure in Patients With Retinoblastoma. J Pediatr Ophthalmol Strabismus. 2011;48(4):238-46. PubMed PMID: 20795600.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Frequent prosthesis refitting to prevent implant exposure in patients with retinoblastoma. AU - Williams,Basil K,Jr AU - Schefler,Amy C, AU - Garonzik,Scott N, AU - Gologorsky,Daniel, AU - Shi,Wei, AU - Cavalcante,Ludimila L, AU - Cavalcante,Milena L, AU - Feuer,William J, AU - Murray,Timothy G, Y1 - 2010/08/23/ PY - 2010/03/25/received PY - 2010/06/15/accepted PY - 2010/8/28/entrez PY - 2010/8/28/pubmed PY - 2016/4/23/medline SP - 238 EP - 46 JF - Journal of pediatric ophthalmology and strabismus JO - J Pediatr Ophthalmol Strabismus VL - 48 IS - 4 N2 - PURPOSE: To examine the effects of prosthesis refitting on porous orbital implant exposure in 100 patients who underwent enucleation for retinoblastoma. METHODS: Parameters analyzed included patient's age at enucleation, gender, implant type, frequency of prosthesis adjustment, and use of chemotherapy or radiation. The main outcome measures consisted of the condition of the fornices, condition of the implant (including conjunctival thinning), and condition and functioning ability of the prosthesis. RESULTS: Increased frequency of visits with the ocularist and number of prosthesis adjustments and refits significantly improved the condition of the implant, fornices, and prosthesis. The patient's age at enucleation, gender, and use of chemotherapy or radiation did not have a significant effect on any of the outcome variables. The condition of the implant was significantly better for porous polyethylene than hydroxyapatite implants (P = .024). No implant exposures were observed. CONCLUSION: Frequent adjustments and refits by the ocularist are significantly associated with a reduced rate of conjunctival thinning and complete avoidance of implant exposure in patients undergoing enucleation for retinoblastoma. These findings are particularly significant for this population, which historically has demonstrated a high rate of implant exposure. SN - 1938-2405 UR - https://www.unboundmedicine.com/medline/citation/20795600/Frequent_prosthesis_refitting_to_prevent_implant_exposure_in_patients_with_retinoblastoma L2 - http://www.healio.com/doiresolver?doi=10.3928/01913913-20100818-06 DB - PRIME DP - Unbound Medicine ER -