Evidence map›Paper›PMID 41092210›Full record

ArticleArquivos brasileiros de oftalmologia2025

Trends in the management of anophthalmic sockets and external ocular prostheses among oculoplastic surgeons: a web-based study.

Alicia Galindo-Ferreiro, Elvira Martinez-Fernandez, Carolina Pereira Bigheti, Denise Cassia Moreira Zornoff, Hortensia Sanchez-Tocino, Silvana Artioli Schellini

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Article in Arquivos brasileiros de oftalmologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Alicia Galindo-FerreiroDepartment of Ophthalmology, Rio Hortega University Hospital, Valladolid, Spain.ORCID 0000-0002-8854-9625
Elvira Martinez-FernandezDepartment of Ophthalmology, Rio Hortega University Hospital, Valladolid, Spain.ORCID 0000-0001-7558-2410
Carolina Pereira BighetiDepartment of Ophthalmology, Faculdade de Medicina, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.ORCID 0000-0001-8817-2656
Denise Cassia Moreira ZornoffDistance Education and Health Information Technology Center, Faculdade de Medicina, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.ORCID 0000-0002-9905-7327
Hortensia Sanchez-TocinoDepartment of Ophthalmology, Rio Hortega University Hospital, Valladolid, Spain.ORCID 0000-0003-2695-7794
Silvana Artioli SchelliniDepartment of Ophthalmology, Faculdade de Medicina, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.ORCID 0000-0002-6938-1230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the practices employed by oculoplastic surgeons in the assessment and management of anophthalmic sockets and external ocular prostheses.

methodsOculoplastic surgeons from two countries, who specialized in the management of anophthalmic sockets, participated in a web-based survey. Data collected included demographics, types of surgery, implant use, external ocular prostheses management (including fabrication and cleaning), complications encountered, and follow-up times. The frequencies and distributions of the responses were statistically analyzed.

resultsA total of 177 oculoplastic surgeons participated, 113 (63.8%) from Brazil, the remainder from Spain. Evisceration was the preferred surgical procedure of 149 (84.2%) surgeons. The most commonly reported indication for enucleation was a painful blind eye (n=103, 58.1%; both Brazil and Spain, p<0.001). Brazilian surgeons preferred polymethyl methacrylate implants (n=65, 57.5%), while Spanish surgeons favored porous polyethylene implants (n=53, 82.8%; p<0.001). Discharge was the most frequently observed clinical feature during socket evaluation (n=164, 92.6%; p<0.001). Brazilian surgeons recommended daily (n=53, 46.9%) or weekly (n=41, 36.2%) cleaning of exter nal ocular prostheses, while Spanish surgeons more commonly recommended monthly cleaning (n=31, 48.4%; p<0.001). The majority of Brazilian surgeons (n=83, 73.4%) advised patients to remove their external ocular prostheses at night. Only a small number of Spanish surgeons (n=3, 4.6%) suggested this practice (p<0.001). Overall, the follow-up recommendations varied, with 70 (39.5%) surgeons recommending follow-up based on indivi dual case needs, and 59 (33.3%) suggesting annual visits (p<0.001). The primary indications for external ocular prostheses replacement were edge damage (n=75, 42.3%) and loss of volume (n=68, 38.4%). The replacement intervals given typically ranged from 1 to 5 years (n=92, 51.9%; p<0.001).

conclusionOculoplastic surgeons in Brazil and Spain demonstrated similar practices in the management of anophthalmic sockets. However, notable differences were observed in the choice of implant materials, cleaning protocols, and recommendations regarding external ocular prostheses removal during sleep.

Indexed as

AnophthalmosEye, ArtificialOrbital ImplantsPractice Patterns, Physicians'SurgeonsAdultBrazilEye EnucleationEye EviscerationFemaleHumansInternetMaleMiddle AgedSpainSurveys and Questionnaires

Identifiers

PMID41092210
PMCPMC12997650

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.