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Hydroxyapatite implant becomes vascularised and integrated in the orbital tissues. In view of the rough hard external surface, wrapping materials are used to enclose the hydroxyapatite implant that facilitate attachment of extraocular muscles. Various wrapping materials have been tried including donor human sclera,1 acellular dermis,2 rectus abdominis sheath,3 posterior auricular muscle,4 polyglactin mesh,5 and bovine pericardium.6 In this report, we present our 5 year experience with the use bovine pericardium wrap. The wrap is presterilised using glutaraldehyde, ethanol, and propylene oxide to minimise the risk of transmission of bacterial and viral infections.
Patients and methods
All patients undergoing primary enucleation for large choroidal melanoma with the insertion of hydroxyapatite implant wrapped in processed bovine pericardium were included in the study. Patients with less than 3 months’ postoperative follow up or radiotherapy …