Clinical Experience of Orbital wall Reconstruction using Medpor(R) Barrier Sheet Implant.

Bae, Jae Hak; Kwak, Mi Sun

Original Article

Journal of the Korean Ophthalmological Society 2001;42(11):1515-1522.
Published online November 1, 2001.

Clinical Experience of Orbital wall Reconstruction using Medpor(R) Barrier Sheet Implant.

Jae Hak Bae, Mi Sun Kwak

Department of Ophthalmology, Taegu Fatima Hospital.

양안의 모든 외안근을 침범한 특발성 외안근염 1 예

김주현(Chu Hyun Kim),임종윤(Jong Yoon Lim),안재홍(Jae Hong Ahn),장재우(Jae Woo Jang)

Abstract

PURPOSE
To evaluate surgical effect of Medpor(R) Barrier Sheet, by comparing with postoperative outcomes using Medpor(R) Barrier Sheet and Medpor(R) in orbital wall reconstruction. METHOD: We have retrospectively analyzed clinical features and postoperative outcomes in two groups. One group is 29 patients who had undergone orbital wall reconstruction using Medpor(R) Barrier Sheet, the other group is 26 patients who had undergone orbital wall reconstruction using Medpor(R). RESULTS: The violence was the most common cause of the orbital wall fractures, the most common fracture site was inferior wall in the two groups. There were no significant differences between the two groups in improvement of diplopia and limitation of extraocular movement(p>0.05). The mean amount of enophthalmic correction were 1.15 mm in Medpor(R) Barrier Sheet group and 1.39 mm in Medpor(R) group. Three cases of Medpor(R) Barrier Sheet group and two cases of Medpor(R) group caused the infraorbital hypoesthesia, but prolapse or dislocation of implant was not found in the two groups. CONCLUSIONS: In this study, Medpor(R) Barrier Sheet had similar surgical effect to regular Medpor(R); its advantages over regular Medpor(R) were easy intraoperative manipulation and less adherence of extraocular muscle in reconstruction of orbital wall fractures. But when cost- effectiveness is considered, Medpor(R) Barrier Sheet may be a good available implant in orbital wall reconstruction for the selective cases with extraocular muscle exposed.

Key Words: Medpor(R) Barrier Sheet;Medpor(R);Orbital-wall fractures