Anophthalmic socket- A cosmetic dilemma

Hennaav Kaur Dhillon ,Renu Dhasmana ,Anuradha Raj ,Harsh Bahadur

doi:10.18231/2455-8478.2018.0004

Abstract

Anophthalmos is the absence of the globe and ocular tissues from the orbit. It can be congenital or acquired which is produced by destructive procedures like enucleation and evisceration. It affects the cosmetic appearance of the patient and can be particularly devastating psychologically. The anophthalmic socket has been associated with many complications such as discharge, entropion, ectropion, exposure or extrusion of the orbital implant, infection, migration of the orbital implant, contracted socket and ptosis. This article emphasises on the management of an anophthalmic socket and its complications such as a contracted socket in grownups. Keywords Anophthalmic socket, Buccal mucosa, Contracted socket, Dermis fat graft, Implants.

Highlights

Anophthalmos is the absence of the globe and ocular tissues from the orbit
The unavoidable conditions leading to removal of the eyeball leaves behind an aesthetic question – management of an anophthalmic socket? With an exponential increase in the awareness amongst the patients now-a-days, providing a satisfactory cosmesis post disfiguring eye surgeries has become a challenge
Evisceration is preferred over enucleation as it leads to less disruption of orbital anatomy, good motility of prosthesis and lower rate of migration, extrusion and resurgery

Summary

Introduction

Anophthalmos is the absence of the globe and ocular tissues from the orbit. At the time of evisceration or enucleation orbital implant is typically placed and an ocular prosthesis is fitted subsequently. Anophthalmic socket syndrome consists of enophthalmos due to orbital tissue shrinkage, deep superior sulcus, shallow fornix which is produced by destructive procedures like enucleation and evisceration. 3. Delay in the use of a conformer or using conformer of an inappropriate size leads to forniceal shallowing and eventual formation of a contracted socket. An ideal ocular prosthesis that is natural looking is required This means, normal eyelid and eyelash position and blinking pattern maintaining adequate symmetry with the healthy contralateral eye

A satisfactory central implant

Conclusion

10. Oculoplastics and Orbit