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Article type :

Original Article

Author :

Aparajita Chaudhary, Sanskriti Singh

Volume :

7

Issue :

1

Abstract :

Purpose: The purpose of this study is to assess the acceptance, of non-integrated acrylic implant in terms of cosmesis, patient comfort, socket component as well as the comparison of these parameter between eyes with and without implant. Materials and Methods: A total of 25 eyes with specific indications for sacrificing the eye were randomly divided with 2 groups of with and without implant. Ocular parameters were taken before and after surgery.  Results: Follow up assessment was done post operatively, at 2nd week, 4th week and 6 months after surgery. In the immediate post operative period, the symptoms of pain, discharge and discomfort were present in all patient belonging to either group. However, on future follow up of 1st week these complaints were significantly less in the group without implant. At 6 months serous, non infectious discharge was present in 20% of the study population of both the groups. Evaluation of the post operative socket in terms of infection, superior sulcus deformity revealed comparable (with implant 13.3% and without implant 20%) data in terms of post operative infection, all of which were well controlled after administering appropriate antibiotics whereas, superior sulcus deformity was present in 100 ?ses without implant compare to only 13% at 6 months follow up. Assessment of the complications associated with lid showed that in the group without implants ptosis was present in all cases compared to only 13% (2 cases) in the group with implant. At 6 months, lid complications in the group without implants comprised of 2 cases of entropion and 4 cases of ectropion compared to only one case of ectropion in those with implants. The results in both the group were comparable in terms of occurrence of conjunctival dehiscence and giant papillary conjunctivitis. Conclusion: The placement of an acrylic spherical implant was associated with cosmesis with a much better amplitude of movements at the cost of a relatively more prolonged convalescence.