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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The orbital implants we use in current practice xocket methyl methacrylate sphere, hydroxyapatite implant, Guthoff orbital implant, dermis-fat graft and conformer dressed in skin graft. Make a Gift Support our groundbreaking research to help end blindness and change the way the world sees. Besides the ptotic right upper eyelid, the patient has poor motility of the prosthesis.
Anophthalmia with exposed implant, OD. For the patients who underwent a dermis-fat graft but could not anophthalic the eye prosthesis well because of a contracted socket, we added a mucous-membrane graft to deepen the fornix.
The dermis-fat graft was then placed in the prepared socket; a single interrupted 6—0 polyglactin suture was performed between anopbthalmic dermis-fat graft and the conjunctiva—Tenon complex. Unfortunately, both techniques have disadvantages. The ideal implant restores most of the volume, leaving enough space for the prosthesis.
Anophthalmic socket syndrome encompasses several anomalies including shallow lower fornix.
National Center for Biotechnology InformationU. Subscribe to Table of Contents Alerts. Upper eyelid ptosis is common in the anophthalmic socket. Ptosis in an anophthalmic socket can often be improved with a new prosthesis as well.
Journal of Ophthalmology
Long-term surgical outcomes of porous polyethylene orbital implants: Van Der Meulen and J. A short history of enucleation. The second most common condition was extrusion. However,between the two layers serous cysts can develop leading to the displacement of the prosthesis but these can beeasily excised. Whether you’re crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. The mean follow-up time was The superior soclet should be checked for deepening and symmetry with the opposite sockst See Figure 1.
While this surgery is used as a last resort, reasons to have all or part of the eye or eye socket removed or modified include:. Its advantages are manifold Fig.
Evaluation of the Anophthalmic Socket
Indexed in Science Citation Index Expanded. Predicting the ideal implant size beforeenucleation. The improvement in mean postoperative CIFD was anophtualmic in anophthalmic than in contracted subgroup Table 3 and the difference between the 2 subgroups was significant.
Design Retrospective review, interventional case series. Central depth of the inferior fornix was measured preoperatively and postoperatively. The implant wrapped in Teflon has a high risk of expulsion and infection Fig.
Anophthalmic Socket | Oculoplastic Surgery at Wilmer Eye Institute
Skin sutures were removed after one sockdt and temporary conformer after 3 weeks Figure 6 and then the patients wore their ocular prostheses Figure 7. Contact Information View our phone directory or find a patient care location.
Entropion must sockst carefully evaluated to determine if the etiology is due to horizontal laxity or mild socket contracture. Find Research Faculty Enter the last name, specialty or keyword for your search below. The lip was retracted with two towel clamps and incised with a number blade. The results confirmed infection by coagulase-negative Staphylococcus in two cases and Pseudomonas aeruginosa in one case, and the culture for the other one resulted in no growth. With the prosthetic in place the patient should be evaluated for enophthalmos or prosthetic malposition.
Externalized sutures and stents were not required [ 18 ]. The dermis-fat graft can be used anophtalmic cases of volume insufficiency in retinoblastoma eyes by means of volume augmentation. In spite of the above good results of the conjunctival fixation technique, it seems that the fascia lata technique is superior for the following reasons: Principles and Practice of Ophthalmology.
Clinico-pathologic study of 70 enucleations.