iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2020.v01i01.012Herniorrhaphy mesh in Orbital Implants of Enucleated eyes for post-operative functionality – A Case SeriesShivaniSharmaYusufRizviKartikaAnandImparting postoperative functionality and cosmesis is a major challenge in enucleated eyes. Orbital implants are used to replace the volume lost by enucleated eye and maintain cosmetic symmetry with the fellow eye.A variety ofnon-integrated, synthetic semi-integrated, integrated, Bio-integrated & Biogenic varieties have been tried employing different materials. The favoured hydroxyapatite (bio-integrated) implant, due to its rough surface needs to be wrapped in donor sclera or other wrapping materials (like polyglactin-910 mesh, polytetrafluoroethylene sheet, etc.) to allow muscle attachment and integration. Monofilament polypropylene mesh used in herniorrhaphy is a bio-integrable material with little rejection hitherto reported. A series of 7 eyes of 7 patients were implanted with hydroxyapatite balls of sizes ranging from 12 to 16 mm. Each of such implants were given polypropylene mesh wrappings using 7- 0 prolene sutures. 6 of such implants were performed in the primary setting while 1 implant was undertaken as a secondary surgery, 8 weeks following the primary procedure of globe excision. 5 of these surgeries were done under local anaesthesia of a peribulbar block while 2 of these surgeries were performed under general anaesthesia. Post operative evaluation was done after 1 day, 1 week, 1 month, 3 months and 6 months in each of these cases. 1 case was lost to follow-up after 3 months. Surgical evaluation was rated on basis of intra operative ease of implantation and muscle attachment, early and late post operative complications, implant mobility and cosmesis achieved. Early complications included peri-orbital surgical edema, discharge, watering and foreign body sensation persisting upto 2 weeks post-operatively. Implant motility as judged 6 months post operatively was satisfactory in all cases. Sulcus deformity was noted in 1 case. No case presented with implant migration or exposure.