Effect research of the hydroxyapatite orbital implant on orbital development in children

Objective To evaluate the clinical effect of a surgical procedure to reconstruct socket with hydroxyapatite in the anophthalmic children. Method Hydroxyapatite was wrapped up with scleral or dura mater shell as a orbital implant. 53 consecutive patients were involved, 34 of whom had been referred for primary implantation surgery, and 19 for secondary implantation surgery. 3 patients had been drilled. Result There were no cases of orbital infection, implant extrusion, implant exposure or migration in 1～76 months of follow up. All children achieved a better facial appearance. The children who undergone drilling and peg placement had excellent prosthesis motility, on the contrary the effect was not very good. Conclusion The hydroxyapatite orbital implant give good cosmetic results with a low rate of complications, promotes orbital development, and helps to children's normal body and mind growth.