Table 1
Case review of Medpor sphere exposure: summary of results
| Case (age; sex) | Original aetiology and procedure | Porous polyethylene orbital sphere implant | Anterior cover (in addition to conjunctiva & Tenon’s) | Time to 2° motility peg (months) | Time from most recent procedure to implant exposure (weeks) | Size of defect (mm) | Management for complete healing |
|---|---|---|---|---|---|---|---|
| 1 (59 years; F) | Trauma; enucleation and acrylic sphere | Replacement, 20 mm | Implant pseudo-capsule | – | 6 | 8×8 | Temporalis fascia, then donor sclera then buccal mucosa |
| 2 (52 years; F) | Trauma; enucleation and glass sphere | Replacement, 20 mm | None | – | 3 | 5×7 | Temporalis fascia |
| 3 (30 years; M) | Tumour retinoblastoma; enucleation | Secondary, 16 mm | Prolene mesh | 32 | 1 | 5×10 | Topical antibiotic/steroid |
| 4 (41 years; M) | Retinal detachment and PVR; evisceration | Primary, 20 mm | Cap and patch autogenous salvaged sclera | 26 | 51 | 6×6 | Temporalis fascia |
| 5 (40 years; M) | Trauma; evisceration | Secondary, 20 mm | Cap and patch autogenous salvaged sclera | 42 | 3 | 4×3.5 | Temporalis fascia |
| Mean = 33 | Mean = 13 |
