About us |  Subscription |  Top cited articles |  e-Alerts  | Feedback |  Login   
  Home | Ahead of print | Current Issue | Archives | Search | Instructions Celebrating 60 Years   Print this article Email this article   Small font sizeDefault font sizeIncrease font size
 
 Official publication of All India Ophthalmological Society   Users Online: 88
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (21 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    References

 Article Access Statistics
    Viewed2250    
    Printed103    
    Emailed2    
    PDF Downloaded143    
    Comments [Add]    

Recommend this journal

 


 
LETTER TO EDITOR
Year : 2005  |  Volume : 53  |  Issue : 1  |  Page : 80
 

Myoconjunctival Enucleation for Enhanced Implant Motility. Result of a Randomised Prospective Study


Dr. R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029, India

Correspondence Address:
Neelam Pushker
Room No.474, 4th Floor, Dr. R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
Login to access the Email id


DOI: 10.4103/0301-4738.15297

PMID: 15829759

Get Permissions

 



How to cite this article:
Bajaj MS, Pushker N, Balasubramanya R, Wagh VB, Gupta S. Myoconjunctival Enucleation for Enhanced Implant Motility. Result of a Randomised Prospective Study. Indian J Ophthalmol 2005;53:80

How to cite this URL:
Bajaj MS, Pushker N, Balasubramanya R, Wagh VB, Gupta S. Myoconjunctival Enucleation for Enhanced Implant Motility. Result of a Randomised Prospective Study. Indian J Ophthalmol [serial online] 2005 [cited 2014 Jul 31];53:80. Available from: http://www.ijo.in/text.asp?2005/53/1/80/15297


We read with interest the article on myoconjunctival enucleation by Yadava et al.[1] We agree with the authors that the technique would lead to a better motility of the prosthetic eye, even when used with unpegged orbital implants. However, we would like to raise a few pertinent issues.

The authors have used the patient′s own sclera after enucleation to wrap the implant in one group and have used unwrapped implants in the other group. The extraocular muscles have been attached to their natural positions in the former and passed through grooves in the implant in the latter. The two groups are not comparable to evaluate the myoconjunctival technique as better motility is naturally expected in wrapped implants with attachment of muscles to their original sites, as compared to unwrapped implants.

We would also like to know whether the authors have sutured the scleral coat after wrapping it over the silicone implant, and if so, the suturing technique and material used by them. Did they make any scleral windows at the site of reattachment of the extraocular muscles, as doing so would certainly lead to better fibrovascular ingrowth and better integration of the implant into the orbit.

Finally, we would like to say that in patients where there is no evidence of malignancy, it would be far more beneficial to perform an evisceration with an implant, instead of enucleating the eye, removing its contents and putting back the same scleral coat to wrap the implant. Even if the extraocular muscles are sutured meticulously to their original positions, it may never give the same results as an evisceration with implant, since the natural attachment of muscles, being more physiological, would ultimately translate into superior cosmesis and motility.



 
   References Top

1.Yadava U, Sachdeva P, Arora V. Myoconjunctival enucleation for enhanced implant motility. Result of a randomised prospective study. Indian J Ophthalmol 2004;52:221-26.  Back to cited text no. 1    




 

Top
Print this article  Email this article
Previous article Next article

    

2005 - Indian Journal of Ophthalmology
Published by Medknow

Online since 1st April '05