The purpose of this article is to describe the different reconstruction techniques for anophthalmic sockets. In preparing the anopthalmic socket for prosthesis. Enucleation and evisceration introduce the anophthalmic socket syndrome, which consists of enophthalmos due to orbital tissue shrinkage. Following enucleation or evisceration surgery, the anatomy and physiology of the orbit are changed. These changes affect not only the cosmetic appearance of.

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It is suitable as both a primary and secondary procedure, and is able to overcome the problems related to implant exposure and extrusion.

Moreover intraoperatively the tension exerted by the fascia on the lower lid retractors can be judged and monitored before tying and suturing the medial end of the fascia strip and so postoperative lower lid entropion or retraction can be avoided. Our study comprised 23 males and 18 females, with a mean age of Explore our health library for more information about conditions and treatments. Dermis-fat graft for treatment of exposed porous polyethylene implants in pediatric postenucleation retinoblastoma patients.

Patient with anophthalmic socket syndrome having shallow inferior fornix and lax lower eyelid. View our phone directory or find a patient care location.

Request your next appointment through My Chart! Twenty-four patients underwent enucleation and 11 others evisceration.

Health Library Explore our health library for more information about conditions and treatments. This was followed by the anophtyalmic of the conformer and temporary tarsorrhaphy.


The Anophthalmic Socket – Reconstruction Options

Support Center Support Center. In our practice we found that it is more efficient in the long term to perform duplicationof conjunctiva and Tenon’s capsule and to suturein two layers.

Enucleation with a primary dermis-fat graft was performed in six patients — one suffered a blast injury, one a chemical burn, one a severe corneal ulcer with scleral melting, one advanced glaucoma with multiple surgeries, one necrotizing scleritis, and the last one had an unknown cause. Anophthalmic socket surgery is no longer just the replacement of a diseased eye with an orbital implant. Open in a separate window. All of the four patients who underwent the combined procedure dermis-fat graft with mucous-membrane graft had an inadequate fornix, intraoperatively following the dermis-fat graft.

The Anophthalmic Socket – Reconstruction Options

Enucleation and evisceration introduce the anophthalmic socket syndrome, which consists of enophthalmos due to orbital tissue shrinkage, deep superior sulcus, and shallow fornix and affects the cosmesis acceptance. Lastly, on palpation of the socket, the presence or absence of an implant and the position of the implant should be noted.

In our study, there were 41 patients who received either primary or secondary dermis-fat graft between August 1, and July 31, at Songklanagarind Hospital. A horizontal inferior fornical incision was performed and minimal dissection was done with excision of the fibrous bands if any to prepare the bed for the mucosal graft. socke

Indications and results in anophthalmic socket reconstruction using dermis-fat graft

A conformer must be in place all times until prosthesis is soket fitted [ 5 ]. In anophthalmic socket syndrome as there is no globe the inferior orbital fat migrated anteriorly and also the inferior rectus muscle is at a higher level in the socket with subsequent elevation of the lower lid retractors and their connections including the fornical conjunctiva.


Journal List J Med Life v. This can be a true ptosis or a pseudoptosis due to poor support from the prosthetic or poor orbital volume and implant location.

Journal of Ophthalmology

We reviewed the medical records of these patients to obtain the following data: Does the patient have pain with the prosthetic in?

There are situations when, in order sockdt alleviate severe pain, to protect a healthy contralateral eye, to improve aesthetics or even to save the life of a patient, the eyeball must be removed. Mules’ more modern version in The lip was retracted with two towel clamps and incised with a number blade.

Primary dermis-fat grafting in children. Silicone or rubber bolsters are used when the sutures are tied on the skin surface, anchoring the stent securely in the inferior fornix Figure 8. The collaboration between surgeon and ocularist is essential in order to provide a natural-looking prosthesis with good motility.

Request an Appointment Maryland Patients In a retrospective study Katreider evaluated the volume replacement afterenucleation by the orbital implant and prosthesis.