L.M. TSUROV ¹^,², E.S. MILYUDIN¹^,²

¹Samara Regional Clinical Opthalmology Hospital named T.I. Eroshevsky, 158 Novo-Sadovaya Str., Samara, Russian Federation, 443068

²Samara State Medical University, 89 Chapaevskaya Str., Samara, Russian Federation, 443099

Tsurova L.M. — eye surgeon of the traumatology department, doctor-consultant of eye prosthetics laboratory, Doctor-researcher of the Research Institute of Eye Diseases, e-mail: leyla_tsurova@mail.ru

Milyudin E.S. — D. Med. Sc., Head of the Department for the preparation of cadaveric tissues, Deputy Director of the Research Institute of Eye Diseases, e-mail: miljudin@mail.ru

The article considers the issues associated with the problem of social adaptation of patients in society after removal of an eyeball. Removal of the eye is a heavy psychological trauma for a person and in this situation the solution is a good cosmetic result of prosthetics, which is directly dependent on the quality of surgical intervention. The article gives the results of surgical treatment after the use of the bone orbital implant of two types: a liner of standard cylindrical shape and a new allogeneic cone-shaped liner with a rounded rear surface and through channels in the front that allow to fix extraocular muscles with the implant. Clinical group of 39 patients is divided into 2 groups depending on the type of orbital implant. The results of surgical treatment and evaluation of cosmetic parameters of the prosthesis are analyzed. The selected orbital implant in accordance with the parameters of the orbit creates the conditions for individual approach to each patient, facilitates the technique of the operation for the surgeon and provides social and cosmetic rehabilitation of patients with anophthalmos.

Key words: bone implant, orbital liner, enucleation, musculoskeletal postenukleatsional stump.

REFERENCES

1. Davydov D.V. Formirovanie oporno-dvigatel’noy kul’ti pri evistseratsii s primeneniem elasticheskogo silikonovogo implantata: avtoref. dis. … kand. med. nauk [ Formation of the locomotor stump during evisceration with the use of an elastic silicone implant. Synopsis of dis. PhD med. sci]. Moscow, 1994. P. 23.
2. Druyanova Yu.S. Formation of the conjunctival cavity after enucleation by cosmetic prosthetics. Vestnik oftal’mologii, 1983, no. 5, pp. 48-50 (in Russ.).
3. Tsurova L.M., Milyudin E.S. et al. Patent RF no. 159838 ot 28.01.16. Orbital’nyy implantat [The patent of the Russian Federation №159838 from 28.01.16. Orbital implant].