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Re: ‘Long-term surgical outcomes of porous polyethylene orbital implants: a review of 314 cases’
  1. Saurabh Kamal,
  2. Sonam Angmo Bodh,
  3. Ruchi Goel,
  4. Sushil Kumar
  1. Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India
  1. Correspondence to Dr Saurabh Kamal, 361, Sector 30, Faridabad 121008, Haryana, India; drskamal{at}

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The debate between evisceration and enucleation is well documented in literature. Minimal orbital dissection required in evisceration has made it a more preferable choice except for certain absolute indications for enucleation. Cosmetic appearance, motility, implant exposure and extrusion are the most frequently discussed complications between these two procedures. In a recent study by Jung et al,1 the fornix contraction was noted in 13.9% cases of enucleation (with unwrapped porous polyethylene) versus 3% cases of evisceration (with porous polyethylene placed …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.