Enucleation assisted with filler for open-globe injury

Authors

  • Ayako Takahashi Department of Ophthalmology, Kyoto Medical Center
  • Masayuki Akimoto Department of Ophthalmology and Clinical Research Institute, Kyoto Medical Center, National Hospital Organization, Kyoto Medical Center
  • Sachiyo Hama Department of Ophthalmology, Kyoto Medical Center
  • Yoko Shirai Department of Dentistry, Kyoto Medical Center
  • Sachiko Minamiguchi Department of Pathology, Kyoto Medical Center

DOI:

https://doi.org/10.16964/er.v1i1.50

Keywords:

trauma, enucleation, filler, sympathetic ophthalmia.

Abstract

In cases of severe open-globe injury, it is often difficult to reconstruct the globe and maintain visual acuity. Ocular globe enucleation may decrease the risk of sympathetic ophthalmia in the fellow eye. However, the surgical procedure is difficult to perform with an open globe, because the injured globe is inclined to collapse. We report the case of an enucleation for an open-globe injury in which we used alginate, which is often used for dental impressions, as filler for the collapsed globe. We were able to maintain the resistance of the globe sufficiently well enough to perform the procedure easily and without complication. Thus, alginate may be a novel aid to assist in enucleation by preserving globe resistance.

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Published

2011-06-09

Issue

Section

Case Reports