THE USE OF VICRYL MESH (POLYGLACTIN-910) FOR IMPLANTATION OF HYDROXYAPATITE ORBITAL IMPLANTS

Hydroxyapatite (HA) implants currently are most commonly wrapped in do nor sclera before implantation to facilitate placement within the orbi t and allow attachment of the extraocular muscles. Although the risk o f acquiring a transmittable disease through donor sclera is extremely low, some individuals remain concerned about receiving nonautologous m aterial. As an alternative to sclera, autologous temporalis fascia, or autologous fascia lata, we have been wrapping HA in ''Vicryl mesh''(1 ) before insertion into the orbit. The Vicryl mesh-wrapped implant goe s into the socket readily, allows one to easily attach the extraocular muscles, and has no risk of transmittable disease. In addition, the V icryl mesh is readily available at most hospitals and is dissolvable.