A Case Series on Evisceration with Mules PMMA Implant

Aim After evisceration in patients with painful blind eye with an end stage eye disease, the efficacy of PMMA implant as a primary orbital reconstruction is evaluated. Methods 10 eyes of 10 patients who for various reasons got evisceration done and as a primary orbital reconstruction procedure done with MULES PMMA implant are included in the study. Postoperative assessement is done regarding the 1. Volume replacement, 2. Extra ocular Movements, 3. Cosmesis Results All the 10 patients got good volume replacement, 8 out of 10 patients got good extra ocular movements and rest of the two patients have got restricted movements post surgery, cosmetically 10 out of 10 patients got good results and are satisified Conclusion MULES Implant is definitely a good choice for primary orbital cavity reconstruction after evisceration in view of motility of the eye and cosmesis. Though the more recent biogenic implants are superior to MULES, in view of cost effectiveness and much comparable advantages of MULES IMPLANT make it a definite alternative to biogenic ones for a poor man in a Government hospital setup.