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Orbital Volume Deficiencies After Tumoral Enucleation
1Camezind P. H., 1Robert P.-Y., 2Adenis J. P.,
1Hôpital Universitaire Dupuytren, Service d´Ophtalmologie (Limoges)
2 (Limoges)
Introduction: Tumoral enucleation is frequent in ophthalmology. The loss of globe (7,2cc) must to be substituted by an implant with sufficient volume in order to obtain a good cosmetic result. Insuffisant volume implantation can induce Post Enucleation Socket Syndrom (PESS).
Material and method: 23 patients operated for PESS by implantation of HATCP in the orbital fat laterally or behind the globe; average volume of HATCP: 2.08 ± 1.24 ml, reduction of enophthalmos by Hertel measurement: 1.97 (p<0.005), reduction of the volume of the prosthesis: 0.96ml.
Discussion: Orbital volume deficiencies after tumoral enucleation is a frequent complication which can be avoided by several procedures: an implantation of an orbital implant with sufficient volume (the ideal volume prosthesis should be 2.2ml), a good choice of the type of the implant, a short interval between enucleation and implantation. Nevertheless, Post Enucleation Socket Syndrom (PESS) can exist and must be treated by different techniques.
Conclusions: Orbital volume deficiencies after tumoral enucleation can lead a real inaesthetic complication which can be avoided by an ideal repair after enucleation.