{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:59:41Z","timestamp":1793127581321,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Even with recent improvements, the optimal timing of orbital implant placement after evisceration surgery \u2013 particularly in infected cases \u2013 remains unclear. This study aimed to compare the long-term outcomes of primary silicone orbital implants after evisceration for infectious and non-infectious causes, focusing mainly on implant-related complications such as exposure or extrusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 32 eyes that underwent evisceration were analyzed. Patients were divided into two groups: infectious causes (Group A,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200910) and non-infectious causes (Group B,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200922). Postoperative follow-up duration, implant size, histopathological results, and complications \u2013 including implant exposure or extrusion \u2013 were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Demographic characteristics were similar between the groups. The mean follow-up duration was 34.0\u2009\u00b1\u200917.7 months in group A and 28.18\u2009\u00b1\u200918.1 months in group B (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.403). The mean implant size was 17.8\u2009\u00b1\u20092.6\u2005mm in group A and 18.3\u2009\u00b1\u20091.8\u2005mm in group B (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.693). Mild symblepharon occurred in 2 patients (20%) in group A, while upper lid ptosis was noted in 2 patients (9%) in group B. No cases of implant exposure, extrusion, or sympathetic ophthalmia were observed in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Orbital evisceration results in comparable long-term outcomes for both infectious and non-infectious indications, with no observed cases of implant exposure or extrusion. These findings support the safe use of primary silicone implants in both scenarios when appropriate surgical technique is applied and adequate postoperative follow-up is provided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721251410968","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T19:03:31Z","timestamp":1768331011000},"page":"1042-1047","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Long-term surgical outcomes of primary silicone orbital implant after orbital evisceration in infectious versus non-infectious cases"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5248-9747","authenticated-orcid":false,"given":"Atike Burcin","family":"Tefon Aribas","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Ankara Bilkent City Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4336-7438","authenticated-orcid":false,"given":"Nilay","family":"Yuksel","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6640-2314","authenticated-orcid":false,"given":"Asim Burak","family":"Gunduz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Ankara Bilkent City Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_1813_18"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-01382-0"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/bf00156975"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2015.1078366"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/srep28100"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13611"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12915"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0000000000010367"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2006.103937"},{"key":"e_1_3_3_11_2","first-page":"568","article-title":"A comparison of implant extrusion rates and postoperative pain after evisceration with immediate or delayed implants and after enucleation with implants","volume":"103","author":"Liu D","year":"2005","unstructured":"Liu D. A comparison of implant extrusion rates and postoperative pain after evisceration with immediate or delayed implants and after enucleation with implants. Trans Am Ophthalmol Soc 2005; 103: 568\u2013591. 2006\/10\/24.","journal-title":"Trans Am Ophthalmol Soc"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2006.11.029"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1988.01060140463053"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2006.09.027"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.18231\/j.ijooo.2023.028"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2013.851706"},{"key":"e_1_3_3_17_2","first-page":"23","article-title":"The anophthalmic socket - reconstruction options","volume":"7","author":"Schmitzer S","year":"2014","unstructured":"Schmitzer S, Simionescu C, Alexandrescu C, et al. The anophthalmic socket - reconstruction options. 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