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New research · Ophthalmology
Orbit (Amsterdam, Netherlands) · 12h
Cohort studyOrbit (Amsterdam, Netherlands) · 2026

Fixation of high-density porous polyethylene implant with cyanoacrylate tissue adhesive in orbital floor fracture.

Osama Alsheikh, Rawan N Althaqib, Mohammed A Aldufaileej … Hamad M Alsulaiman
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OphthalmologyCohort study

Cyanoacrylate-fixed porous polyethylene implants improved symptoms in most orbital floor fracture repairs.

Fixation of high-density porous polyethylene implant with cyanoacrylate tissue adhesive in orbital floor fracture.

Osama Alsheikh … Hamad M Alsulaiman
Orbit (Amsterdam, Netherlands) · 2026
Purpose

The purpose of this study was to assess the safety and efficacy of porous polyethylene implant fixation with N-butyl cyanoacrylate tissue adhesive.

Methods

A retrospective chart review was conducted for all patients with orbital floor fracture who underwent surgical repair with a high-density porous polyethylene (Medpor) implant fixated with N-butyl-2-cyanoacrylate tissue adhesive glue from January 2000-December 2018.

Results
94.6%
surgery relieved eye/vision symptoms for nearly all patients
More results

The median interval between trauma and surgery was 7 months (interquartile range, 0.7-24 months), and the median duration of the last follow-up also 7 months (interquartile range, 1.2-31 months).

More results

The indication for surgery was diplopia in 19 (51.3%) patients, enophthalmos in 22 (59.5%), limited ocular motility in 12 (29.7%), and combined canalicular laceration with orbital floor fracture in 1 (2.7%).

No patient exhibited implant displacement or implant-related infections.

“
Conclusion

Overall, these findings suggest that N-butyl-2-cyanoacrylate fixation of high-density porous polyethylene implants for orbital floor fractures is safe and effective.

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