Complications associated with the orbital bead implant operation.

The primary objective of this paper is to suggest various precautionary measures in order to decrease the occurrence of possible complications associated with the orbital bead implant operation for anophthalmic "enophthalmos". It is important that the subperiosteal insertion of glass beads by used primarily in an anophthalmic orbit. A preoperative x-ray of the patient's orbit will help the surgeon decide the ideal location in making entry into the subperiosteal space. Cautious dissection of the subperiosteal pocket is important in order to avoid damage to the levator muscle, blood vessels and nerves of the orbit. An accurate and careful positioning of the bead inserter is necessary in order to deposit the beads properly into the posterior portion of the subperiosteal space.