The Müller Muscle Flap for Repair of an Exposed Hydroxyapatite Orbital Implant

A 36-year-old woman was experiencing discomfort and discharge after placement of an orbital implant 1 year previously. Her ocular history included iridocorneal endothelial syndrome, requiring two trabeculectomies, the last of which included the use of 5-fluorouracil (5-FU). After enucleation, a hydroxyapatite orbital implant was placed. Shortly thereafter, an implant exposure developed and continued to enlarge to 11 mm even after her ocularist...