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[Treatment of congenital clinical anophthalmos with high hydrophilic hydrogel expanders].

AbstractINTRODUCTION:
Children presenting with congenital anophthalmos usually develop a smaller bony orbit, a constricted mucosal socket, and a shortened eyelid fissure. This causes problems when fitting these patients with a prosthesis. Clinical evaluation of the Wiese self-inflating hydrogel expanders has demonstrated their ability to expand the socket and eyelid fissure for inserting a more realistic prosthesis in shorter periods of time.
PATIENTS AND METHOD:
The study included 13 consecutive anophthalmic patients, eight unilateral and five bilateral. Each patient received a hemispherical osmotic tissue expander in the rudimentary mucosal socket and later a sphere implanted in the deeper soft orbital tissue.
RESULTS:
The use of hydrogel expanders enlarged the lid and palpebral fissure in all children, with good cosmetic results. It allowed insertion of custom-made glass prostheses with good cosmetic appearance very early in life. Growth of the bony orbit may be stimulated successfully by these expanders in the soft orbital tissue.
CONCLUSIONS:
The enlargement of constricted mucosal sockets and short palpebral fissures using self-inflating hydrogel expanders is a new and successful concept in treating congenital anophthalmos.
AuthorsM P Schittkowski, K K H Gundlach, R F Guthoff
JournalDer Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft (Ophthalmologe) Vol. 100 Issue 7 Pg. 525-34 (Jul 2003) ISSN: 0941-293X [Print] Germany
Vernacular TitleTherapie des kongenitalen klinischen Anophthalmus mit hoch hydrophilen Hydrogelexpandern.
PMID12920552 (Publication Type: Comparative Study, English Abstract, Journal Article)
Chemical References
  • Biocompatible Materials
  • Hydrogels
Topics
  • Anophthalmos (rehabilitation)
  • Biocompatible Materials
  • Child
  • Child, Preschool
  • Eye, Artificial
  • Follow-Up Studies
  • Humans
  • Hydrogels
  • Infant
  • Microphthalmos (rehabilitation)
  • Prosthesis Implantation
  • Tissue Expansion
  • Treatment Outcome

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