Treatment of the anophthalmic socket

Abstract

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.

Anophthalmic socket: choice of orbital implants for reconstruction

“…Exposure may favor the colonization of porous implants by bacteria and by dense inflammatory infiltration, thereby necessitating implant removal when spontaneous extrusion does not occur (23) . Previous studies provide no evidence that integrated implants are superior to non-integrated implants (2,24,25) . The superiority of porous polyethylene has been reported but others note that porous polyethylene has the same rate of complications as other porous (26) or non-porous implants (3) .…”

Augenprothetische Versorgung

“…Letztere kön-nen durch Verkürzung der konjunktivalen Fornices das Einsetzen einer Prothese unmöglich machen [55]. Die Prothesenfähigkeit muss dann durch Erweiterung der Fornices mittels Mundschleimhaut-, Amnionmembranplastiken oder autologe Dermis-Fett-Transplantate [56], ggf.…”

Congenital anophthalmia: A review of dealing with volume

“…Static is a very traditional approach. A spherical implant, typically smooth acrylic or silicone, is placed into the eye socket 5. Some surgeons choose to start with a small implant and perform serial surgeries every year or two and slowly increase the size of the implant 6.…”