Evaluation of Amniotic Membrane Grafting in the Reconstruction of Contracted Socket

Bajaj, Mandeep S; Pushker, Neelam; Singh, None Dr. K. B.; Chandra, Mahesh; Ghose, Supriyo

doi:10.1097/01.iop.0000200887.26015.d4

Cited by 48 publications

(29 citation statements)

References 14 publications

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“…Amniotic membrane has emerged as a viable alternative to established mucous membrane grafting according to other studies, though it can be useful only in mild-tomoderate grades of socket contraction [48,49].…”

Section: Contracted Socketmentioning

confidence: 99%

Treatment of the anophthalmic socket

Quaranta‐Leoni¹

2008

Current Opinion in Ophthalmology

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Implant materials and wrapping, surgical technique and treatment of lid malpositions associated with postenucleation socket syndrome are all factors affecting the rehabilitation of patients with anophthalmia. Current clinical evidence does not support porous implants with respect to nonporous implants. The treatment of congenital anophthalmia is directed through a simultaneous stimulation of both soft tissue and bony orbital growth. Further studies with extensive follow-ups are necessary as adverse effects may develop many years after socket surgery.

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Section: Contracted Socketmentioning

confidence: 99%

Treatment of the anophthalmic socket

Quaranta‐Leoni¹

2008

Current Opinion in Ophthalmology

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“…The shrinkage or loss of conjunctiva usually requires addition of ocular surface tissue or use of graft material. Several grafting materials have been used for the management of the contracted anophthalmic socket, including mucous membrane grafts, 2,3 hard palate mucosal grafts, 4,5 amniotic membrane, 6,7 skin grafts or flaps, 8–11 and custom-designed conformers. 12,13 The main problem with grafting is contracture of the surgical bed, resulting in recurrent foreshortening of the conjunctival fornix.…”

mentioning

confidence: 99%

Rigid Nylon Foil-Anchored Polytetrafluoroetyhlene (Gore-Tex) Sheet Stenting for Conjunctival Fornix Reconstruction

Demirci

Elner

2010

Ophthalmology

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Purpose To describe a surgical technique that deepens foreshortened conjunctival fornices by providing a scaffold for epithelialization that opposes contractile forces during wound healing. Design Retrospective interventional case series Participants Seventeen patients with anophthalmic sockets containing foreshortened conjunctival fornices Methods Conjunctival fornices was reconstructed with stents of expanded polytetrafluoroethylene (e-PTFE) sheet draped over rigid, 0.8 mm thick nylon strips that were anchored to the orbital rim. Preoperative and postoperativesymptoms, prosthesis retention, fornix depth, and lagophthalmos were assessed. Main Outcome Measure Prosthesis retention, fornix depth, and lagophthalmos Results All 17 patients had preoperative inability to retain their prosthesis. After postoperative follow-up of 47 ± 43 months, retention was improved in all patients and was entirely satisfactory in 15 (88%) patients. After reconstruction, the repaired fornix was deep in 7 (41%) patients, adequate to retain a prosthesis in 9 (53%) patients, and shallow in 1 (6%) patient. Lagophthalmos improved in 15 (88%) patients and remained unchanged in 2 (12%) patients. Superior fornix was reconstructed concurrently with the inferior fornix in 6 patients. In these patients, the superior fornix improved to deep (3 patients; 50%) or adequate (2; 33%). In 1 (17%) patient, it remained shallow. Conclusion Rigid, nylon-foil anchored e-PTFE stenting opposes postoperative contracture, improving prosthesis retention, and lagophthalmos. It does not require an additional surgical site for graft harvesting.

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“…Mucous membrane grafts may be attempted; nonetheless, there is an increased risk of recurrent graft failure if vascularity is decreased [2]. However, in certain cases there might be a relapse of the shallow fornix and multiple surgeries might result scar contracture [5,6]. In such cases a pressure conformer can be used.…”

Section: Introductionmentioning

confidence: 99%

“…In this case, we considered correcting the fornix depth prosthetically, as the surgery was done previously and further surgeries might lead to scar contractures [5,6]. So a stock conformer attached with acrylic rod, gauze and medical adhesive tape to deepen the lower fornix [Table/ Fig-5,6].…”

Section: Introductionmentioning

confidence: 99%

“…There are several management tools, both prosthetically and surgically, in the management of the shallow fornix in the anpthalmic sockets. Surgical correction of the shallow fornix can be performed and there are various techniques described by authors for this procedure [3][4][5][6]. Mucous membrane grafts may be attempted; nonetheless, there is an increased risk of recurrent graft failure if vascularity is decreased [2].…”

Section: Introductionmentioning

confidence: 99%

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