Figure 3
Surgical steps in exchange titanium mesh to individual ultra-high molecular weight polyethylene implant. A – transconjunctival approach exposes the titanium mesh immerse in scar tissue in orbital floor. Orbital spatula holding the globe in the upper section, hooks holding the eylid in the lower part of the picture. B – mesh impressions in orbital floor scar tissue. C – individual polyethylene implant insertion through the transconjunctival approach. D – implant position in the orbit, implant alignment checked in previously designed reference areas, here visible fit of the implant to lower orbital rim. Implant position fixed with single 6mm long self-tapping screw from MatrixMIDFACE system by SYNTHES (Synthes, Zuchwil, Switzerland).