Implant extrusion

This 70 year-old man had had a right evisceration 18 months earlier for rubeotic glaucoma following failed retinal detachment operation. A medpar implant was inserted. He returned to the clinic complained of a discharging eye and poor fitting of the prosthesis. Examination revealed extrusion of the orbital implant. Closure was performed using the surrounding conjunctiva. However, two weeks later the wound became dehiscence (note the blue vicryl used). Further repair was performed using the upper tarsoconjunctival flap.
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