Orbital Roof Reconstruction Using Nylon Foil Implants

Purpose: To describe a surgical technique of orbital roof reconstruction with a thin nylon foil implant. Methods: This study is a description of a surgical technique with a retrospective chart review of 3 consecutive patients treated with a nylon foil implant for a complete superior orbital defect after meningioma resection via craniotomy approach. Results: The nylon foil reconstruction achieved an anatomically stable orbit without globe dystopia, pulsatile proptosis, cerebrospinal fluid leak, or other serious cranio-orbital problems, in all cases. Postoperative visual acuity, pain, extraocular motility, proptosis, and globe position remained stable or improved in each case. There were no complications related to the orbital roof reconstruction. Conclusions: Nylon foil implantation was an effective and inexpensive surgical technique for orbital roof reconstruction after tumor resection in this small series. Accepted for publication November 12, 2018. Financially supported by Heed Foundation and an unrestricted institutional RPB grant to UCI Department of Ophthalmology. The authors have no financial or conflicts of interest to disclose. Address correspondence and reprint requests to Seanna R. Grob, M.D., M.A.S., Division of Oculoplastic and Orbital Surgery, Department of Ophthalmology, Gavin Herbert Eye Institute, University of California, Irvine, School of Medicine, Irvine, CA 92697. E-mail: sgrob@uci.edu © 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.

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