Treatment of Intractable Orbital Implant Exposure with Scleral Melting By Secondary Implant of Dermis Fat Graft-A Case Report

Abstract

A 30 year old female with absolute glaucoma status post-evisceration developed recurrent orbital implant exposure and scleral melting. We successfully treated the large conjunctiva defect by utilizing secondary implant of dermis fat graft for tissue growth and tension-free conjunctiva closure. The patient was satisfied with the postoperative outcome, and no major complications were observed in the following six months. Age and underlying disease may both be associated with dermis fat graft properties. Our case demonstrates that secondary dermis fat implantation is an effective method for treatment of exposed orbital implants and empty sockets after extrusion of an orbital implant.