Surgical Management of the Contracted Socket

Contracted socket and lower fornix reconstruction: An oculoplastic challenge

“…New Approaches to lower fornix reconstruction are fornix deepening sutures without external bolster or internal fixation to the periosteum, and another technique is fornix reconstruction with harvesting fascia lata strip. [3][4][5]15 In our case series, the recurrence was 8% in the 351 cases of lower fornix reconstruction with external bolster.…”

“…The two most important aspects are always considered for making a sufficient fornix to support the ocular prosthesis and make the adequate orbital volume. 3 There are multiple risk factors for developing a contracted socket, including failure to wear a prosthetic for a long time, infection in the ocular surface or orbital infection, post-radiation, excessive tissue damage due to trauma, extreme tissue manipulation or excessive excision of conjunctiva during enucleation or evisceration, and autoimmune diseases like mucous membrane pemphigoid, Stevens-Johson-Syndrome. [4][5][6] There are various classifications for the contracted socket.…”