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Dermis-fat graft as treatment of early implant exposure in a postpenetrating keratoplasty patient with nontraumatic eyeball rupture

 Department of Ophthalmology, Taipei City Hospital, Taipei, Taiwan

Correspondence Address:
Zoe Tzu-Yi Chen,
Department of Ophthalmology, Taipei City Hospital, 2F, No. 145, Zhengzhou Road, Datong District, Taipei City 103
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_143_18

Orbital implant exposure may be the most common complication after evisceration surgery with orbital implantation. Management of implant exposure is a vital issue for oculoplastic surgeons. We present the case of a patient with nontraumatic eyeball rupture receiving dermis-fat graft after early implant exposure. The present case with multiple penetrating keratoplasty history underwent emergent evisceration and silicon sphere implantation due to nontraumatic eyeball rupture with severe uvea prolapse. The surrounding corneal tissue of the rupture aperture was almost unidentified before the operation. Deep superior sulcus syndrome and orbital implant exposure developed 2 months after the operation; hence, orbital reconstruction and dermis-fat graft transplantation were performed. Orbital reconstruction and orbital implant exposure management are discussed in the content.

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