Dermis Fat Graft in the management of contracted anophthalmic socket

Trishulamurthy, Chinmayee J; M, Swathi; R, Samhitha H

doi:10.21608/ejomos.2022.141351.1059

Dermis Fat Graft in the management of contracted anophthalmic socket

Document Type : Original Articles

Authors

¹ Associate Professor, Department of Ophthalmology, Minto Ophthalmic Hospital, Bangalore Medical College and Research Institute, Bangalore, India

² Senior Resident, Department of Ophthalmology, Minto Ophthalmic Hospital, Bangalore Medical College and Research Institute, Bangalore, India

³ Ex-Senior Resident, Department of Ophthalmology, Minto Ophthalmic Hospital, Bangalore Medical College and Research Institute, Bangalore, India

10.21608/ejomos.2022.141351.1059

Abstract

Background: Contracted anophthalmic socket poses a challenge to the ophthalmologist in terms of patient comfort and cosmesis. Dermis fat graft can be performed as a primary procedure following destructive surgeries or as a secondary procedure for mild contracted anophthalmic socket. This is a study to analyse the effectiveness of dermis fat graft in the management of all grades of contracted anophthalmic socket.
Aims: To analyse the effectiveness of dermis fat graft in all grades of contracted anophthalmic socket.
Settings and Design: Retrospective interventional study in a tertiary oculoplasty centre in south India.
Methods and Material: Twenty-three patients with anophthalmic socket of varying degree underwent dermis fat grafting harvested from the gluteal region. Post operatively, patients were followed up to one year. Customized prosthesis fitting was done after 6 weeks.
Results: Most common indication for enucleation was retinoblastoma (43.37%) followed by trauma (39.13%). Most of the patients presented with grade III contracture (43.47%). Post-operative complications included graft ulceration (8.6%), loss of volume (8.6%) and lower lid ectropion (4.3%) which were managed medically. Most (78.26%) of patients had uneventful post-operative course. 82.61% of patients had grade 0 contracture at end of follow up. All the patients had acceptable prosthesis fit.
Conclusions: Dermis fat graft gives good results with respect to volume replacement, cosmesis and artificial prosthesis fit for all grades of contracture.

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