BookThomas E. Johnson, editor.
Contents:
Intro
Foreword
Preface
Contents
Contributors
Part I: Clinical Foundations
Chapter 1: Introduction and Historical Perspectives
Introduction
Early Historical Perspectives
Extirpation
Enucleation
Evisceration
Exenteration
Conclusion
References
Chapter 2: Clinical Decision-Making
Introduction
Indications for Eye Removal
Infectious
Neoplastic
Traumatic
Palliative
Choice of Surgical Technique
Further Reading
Chapter 3: Sympathetic Ophthalmia
Introduction
Background: Epidemiology and Risk Factors
Reduction of Risk of SO Presentation and Diagnosis
Management
References
Chapter 4: Psychological and Cognitive Adjustment to Vision Loss
References
Chapter 5: History of Ocular Implants
Prehistory/Before Ocular Implants
The First Ocular Implant
The Emergence of Acrylics
In Search of Increased Motility
The Advent of Porous Orbital Implants
Looking to the Future
References
Part II: Surgical Techniques
Chapter 6: Enucleation and Techniques of Orbital Implant Placement
Background
Indications
Surgical Procedure
Types of Implants
Implant Placement Preparation of Implant
Placement of Implant
Peg Placement
Complications
References
Chapter 7: Evisceration
Introduction
Preoperative Considerations
Surgical Technique
Implant Placement
Sympathetic Ophthalmia
References
Chapter 8: Exenteration and Multidisciplinary Approaches
Indications
Preoperative Evaluation
Operative Technique
Healing by Second Intention
Split-Thickness Skin Graft
Dermal Substitute
Myocutaneous Advancement Flap or Free Flap
Potential Complications
Postoperative Care
References Chapter 9: Orbital Implants and Wrapping Materials
Introduction
Implant Size
Special Considerations
Implant Material
Nonporous Implants
Silicone
Polymethyl Methacrylate
Porous Implants
Porous Hydroxyapatite
Porous Polyethylene
Aluminum Oxide
Special Considerations
Wrapping Materials
Pegging
References
Chapter 10: Osseous Integration After Exenteration
Historical Perspective
Definition and Biology of Osseointegration
Factors Influencing Success of Osseointegration
Implant Material
Implant Design and Surface Characteristics Bone Quality
Surgical Technique
Preoperative Evaluation
Procedure Description
Primary Stability
Post-op Care
Success of Orbital Implant Osseointegration
Radiotherapy and Osseointegration
Effect of Radiation on Bone
Dose of Radiotherapy
Success of Osseointegration in Irradiated Bone
Hyperbaric Oxygen Therapy
Advantages of Osseointegration [7, 20, 23]
Disadvantages of Osseointegration [7, 20, 23]
Management of Possible Complications
Soft Tissue Reaction and Infection
Soft Tissue Growth Up Against the Bar the Bar
Osseointegration Failure