Secondary implantation of hydroxyapatite orbital implant after evisceration of the eye

Objective:To evaluate the repair effect of secondary implantion of hydroxyapatite implants after evisceration of the eye.Methods:Hydroxyapatite wrapped in autologous sclera was used as secondary orbital implant in 37 patients (37 eyes)after evisceration of the eye.Results:Postoperatively,1 patient had heavy palpebral swelling and chemosis,which subsided 30 days later.3 patients had small gap of the conjunctival wound after removal of sutures.In 1 patient,the wound healed after resuturing,and in the other 2 patients,the wound healed spontaneously.1 patient had ptosis and 2 patients had slight hollow upper eyelid.All the patients were followed up for 2～24 months,and had satisfactory cosmetic effects.Conclusion:Hydroxyapatite implant may be used in secondary orbital implantation after evisceration of the eye,and obtain satisfactory cosmetic effect.