AIM: To evaluate the efficacy of two kinds of hydroxyapatite(HA)implantation surgeries.

METHODS: In this retrospective case series from April 2009 to January 2012, 60 patients 60 eyes were included and allocated for primary enucleation and either homologous sclera-wrapped HA orbital implant or autologous sclera-wrapped HA orbital implant under local anesthesia, in order to compare conveniently, the same number cases in either series was selected. The main outcome measures included socket examination, HA implant exposure.

RESULTS: Six eyes in the homologous group had the splits in conjunctiva; 1 eye had HA exposure. 7 eyes in the autologous group had the splits in conjunctiva; 5 eyes had HA exposure and 2 of them had HA out of the orbit finally.

CONCLUSION: Homologous sclera wrapping HA is a good way to perform orbital implant surgery.