By Patricio A. Pacheco

This can be a finished, functional guidebook that offers a transparent evaluate and replace of present glossy options of ocular surgical procedure. The chapters can be of curiosity to a large viewers. The chapters are written by means of specialists with distinctive curiosity and vast medical event within the issues.

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Another option may be dermis-fat grafts, knowing that they can reabsorb and loose some of its volume and taking into account that the artificial eye movements will be very limited. In children aged 5-15 years, they recommend hydroxyapatite or aluminum oxide [16]. On the other hand, Shah et al. used hydroxyapatite implants with low complication rates and good motility and high patient/family cosmetic satisfaction on long-term follow-up in 531 orbits of children with an average age of 3 years. 7.

1. Donor sclera Once warmed up to room temperature, it is advisable to send cultures of the liquid in order to discard any possible microbiological contamination. Sclera is placed over the implant and sutured with 4-0 or 5-0 nonabsorbable running sutures. Due to its origin, there is a small possibility of infection transmission, including human immunodeficiency virus, hepatitis B or C virus, and Creutzfeldt-Jakob disease. These risks have made many surgeons abandon this wrapping material. 2. Autologous tissue This type of tissue includes temporalis fascia, dermis, human donor pericardium, fascia lata, or posterior auricular muscle complex [43].

Nowadays evisceration is widely preferred in Europe because of its advantages in blind eyes, such as better cosmetic results and shorter postoperative recovery time [9]. 3. Endophthalmitis: many surgeons prefer evisceration for endophthalmitis because of the low risk of bacterial retroocular space invasion. 3. Exenteration Orbital content removal is reserved for the treatment of potentially life-threatening malignances arising from the eye, eyelid, orbit, paranasal sinuses, and periocular skin.

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