To analyze clinical presentations, radiographic failure patterns, multidisciplinary surgical strategies, and outcomes of patients undergoing revision surgery for malpositioned orbital implants.
Approach:
Study Design: A single-center retrospective consecutive case series was conducted of patients who underwent removal or replacement of malpositioned orbital implants.
Data Collection: Patient demographics, presenting symptoms, radiographic findings, surgical approaches, implant management strategies, and postoperative outcomes were reviewed.
Statistical Analysis: Descriptive statistics were used to summarize findings.
Key Findings:
Five of seven patients (71.4%) were female, with a median age of 60 years (range 29–78).
Diplopia and pain or swelling were the most common presenting symptoms (71.4%).
CT scans showed implant protrusion into orbital soft tissue in 57.1% of patients.
57.1% of patients underwent explantation alone, while 42.9% had secondary reconstruction.
80% of patients with diplopia experienced improvement or resolution post-surgery.
Interpretation:
Limitations:
Small sample size of only seven patients.
Retrospective design may limit the generalizability of findings.
Conclusion:
Individualized surgical management is crucial for malpositioned orbital implants.
