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Current indications for pegging in the anophthalmic socket: are there any?

Abstract

PURPOSE OF REVIEW

To highlight the development, problems, and current status of coupling porous orbital implants to the overlying prosthetic eye.

RECENT FINDINGS

Although increasing the risk of complications, pegging significantly contributes to prosthesis motility and satisfies the cosmetic expectations of some patients. Patients should be counseled regarding the increased risks in approximately one-third of individuals and that complications can occur even 10 years following implantation.

SUMMARY

Although implant peg placement has declined dramatically over the past decade, a precise and meticulous technique under intravenous anesthesia in the appropriately selected patient can be a successful outpatient procedure. Fortunately, most problems are of a minor nature, and over 85% of patients are able to retain their pegs following proper management and timely intervention. Additional visits to the ophthalmic plastic surgeon or ocularist are required that may not be necessary if a peg had not been placed.

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  • Authors+Show Affiliations

    ,

    aDepartment of Ophthalmology, University of Ottawa Eye Institute, Ottawa, Ontario, Canada bCentro Oftalmologico y Oculoplastico de Madrid, Hospital Universitario Madrid Norte Sanchinarro, Hospital Universitario de Fuenlabrada, Madrid, Spain cKlapper Eyelid and Facial Plastic Surgery, Carmel, Indiana, USA.

    ,

    Source

    Current opinion in ophthalmology 27:5 2016 Sep pg 465-73

    MeSH

    Eye Enucleation
    Eye, Artificial
    Humans
    Orbit
    Orbital Implants
    Patient Selection
    Prosthesis Implantation

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    27253606

    Citation

    Jordan, David R., et al. "Current Indications for Pegging in the Anophthalmic Socket: Are There Any?" Current Opinion in Ophthalmology, vol. 27, no. 5, 2016, pp. 465-73.
    Jordan DR, Stoica B, Klapper SR. Current indications for pegging in the anophthalmic socket: are there any? Curr Opin Ophthalmol. 2016;27(5):465-73.
    Jordan, D. R., Stoica, B., & Klapper, S. R. (2016). Current indications for pegging in the anophthalmic socket: are there any? Current Opinion in Ophthalmology, 27(5), pp. 465-73. doi:10.1097/ICU.0000000000000297.
    Jordan DR, Stoica B, Klapper SR. Current Indications for Pegging in the Anophthalmic Socket: Are There Any. Curr Opin Ophthalmol. 2016;27(5):465-73. PubMed PMID: 27253606.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Current indications for pegging in the anophthalmic socket: are there any? AU - Jordan,David R, AU - Stoica,Bazil, AU - Klapper,Stephen R, PY - 2016/6/3/entrez PY - 2016/6/3/pubmed PY - 2016/12/16/medline SP - 465 EP - 73 JF - Current opinion in ophthalmology JO - Curr Opin Ophthalmol VL - 27 IS - 5 N2 - PURPOSE OF REVIEW: To highlight the development, problems, and current status of coupling porous orbital implants to the overlying prosthetic eye. RECENT FINDINGS: Although increasing the risk of complications, pegging significantly contributes to prosthesis motility and satisfies the cosmetic expectations of some patients. Patients should be counseled regarding the increased risks in approximately one-third of individuals and that complications can occur even 10 years following implantation. SUMMARY: Although implant peg placement has declined dramatically over the past decade, a precise and meticulous technique under intravenous anesthesia in the appropriately selected patient can be a successful outpatient procedure. Fortunately, most problems are of a minor nature, and over 85% of patients are able to retain their pegs following proper management and timely intervention. Additional visits to the ophthalmic plastic surgeon or ocularist are required that may not be necessary if a peg had not been placed. SN - 1531-7021 UR - https://www.unboundmedicine.com/medline/citation/27253606/Current_indications_for_pegging_in_the_anophthalmic_socket:_are_there_any L2 - http://Insights.ovid.com/pubmed?pmid=27253606 DB - PRIME DP - Unbound Medicine ER -