Safety and aesthetic outcomes of silicone buckles as an implant for anophthalmic sockets: a decade of experience in Japan.

IF 1.9 3区医学 Q2 OPHTHALMOLOGY Japanese Journal of Ophthalmology Pub Date : 2025-03-01 Epub Date: 2025-02-07 DOI:10.1007/s10384-025-01164-9

Rikako Iwasaki, Yoshiyuki Kitaguchi, Takeshi Morimoto, Hiroshi Shimojo, Takahiro Fujino, Shimpei Komoto, Kohji Nishida

{"title":"Safety and aesthetic outcomes of silicone buckles as an implant for anophthalmic sockets: a decade of experience in Japan.","authors":"Rikako Iwasaki, Yoshiyuki Kitaguchi, Takeshi Morimoto, Hiroshi Shimojo, Takahiro Fujino, Shimpei Komoto, Kohji Nishida","doi":"10.1007/s10384-025-01164-9","DOIUrl":null,"url":null,"abstract":"Purpose: To investigate the safety and aesthetic outcomes of silicone buckle #506 for anophthalmic socket reconstruction.Study design: Retrospective cohort study.Methods: Patients who underwent enucleation or evisceration at the Osaka University Hospital were retrospectively analyzed. Patients under 18 years old, with < 3 months follow-up, without a prosthesis, or with bilateral surgery were excluded. Aesthetic outcomes were assessed using standardized photographs taken 3 months postoperatively, scored by five independent ophthalmologists for upper eyelid sulcus deepening asymmetry. Scoring was categorized as 0: no noticeable side difference, 1: slight asymmetry, and 2: marked asymmetry characterized by upper eyelid sulcus deepening.Results: Fifty-nine patients (60 sockets) were analyzed. Thirty-three received silicone buckle implants (1-4 buckles). Implant exposure occurred in two patients (6.1%). Aesthetic scores were assessed in 48 patients. Mean aesthetic scores were 0.97 (no implant), 0.78 (one buckle), 0.68 (two buckles), and 0.42 (three/four buckles) (p = 0.123).Conclusions: Silicone buckle #506 appears to be a safe and feasible option for anophthalmic socket reconstruction. Further studies are needed to optimize aesthetic outcomes and determine the ideal number of buckles.","PeriodicalId":14563,"journal":{"name":"Japanese Journal of Ophthalmology","volume":" ","pages":"214-220"},"PeriodicalIF":1.9000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003588/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10384-025-01164-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/7 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To investigate the safety and aesthetic outcomes of silicone buckle #506 for anophthalmic socket reconstruction.

Study design: Retrospective cohort study.

Methods: Patients who underwent enucleation or evisceration at the Osaka University Hospital were retrospectively analyzed. Patients under 18 years old, with < 3 months follow-up, without a prosthesis, or with bilateral surgery were excluded. Aesthetic outcomes were assessed using standardized photographs taken 3 months postoperatively, scored by five independent ophthalmologists for upper eyelid sulcus deepening asymmetry. Scoring was categorized as 0: no noticeable side difference, 1: slight asymmetry, and 2: marked asymmetry characterized by upper eyelid sulcus deepening.

Results: Fifty-nine patients (60 sockets) were analyzed. Thirty-three received silicone buckle implants (1-4 buckles). Implant exposure occurred in two patients (6.1%). Aesthetic scores were assessed in 48 patients. Mean aesthetic scores were 0.97 (no implant), 0.78 (one buckle), 0.68 (two buckles), and 0.42 (three/four buckles) (p = 0.123).

Conclusions: Silicone buckle #506 appears to be a safe and feasible option for anophthalmic socket reconstruction. Further studies are needed to optimize aesthetic outcomes and determine the ideal number of buckles.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

安全性和美学效果硅胶扣植入无眼窝：在日本的十年经验。

目的：探讨506硅胶扣在无眼窝重建中的安全性和美观性。研究设计：回顾性队列研究。方法：回顾性分析在大阪大学医院行去核或去内脏手术的患者。18岁以下患者，结果：分析59例患者（60个关节窝）。33例植入硅胶卡扣（1-4个卡扣）。2例患者出现种植体暴露（6.1%）。对48例患者进行美学评分。平均美学评分为0.97（无种植体）、0.78（1个卡扣）、0.68（2个卡扣）和0.42（3 / 4个卡扣）（p = 0.123）。结论：硅胶扣#506似乎是一种安全可行的选择，用于无眼窝重建。需要进一步的研究来优化美学结果和确定理想的扣环数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Japanese Journal of Ophthalmology 医学-眼科学

CiteScore

4.80

自引率

8.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.