Prosthesis-socket volume imbalance and dermofat graft rehabilitation in patients
            with an anophthalmic socket

Sendul, Selam Yekta; Dirim, Burcu; Atılgan, Cemile Üçgül; Demir, Mehmet; Demir, Semra Tiryaki; Olgun, Ali; Uzun, Saniye Uke; Karapapak, Murat; Güven, Dilek

doi:10.5935/0004-2749.20200003

Cited by 1 publication

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“…Sendul et al described 12 out of 18 patients in whom blepharoptosis was improved after volume replacement with a dermis fat graft. 19 The remining 6 patients required subsequent eyelid ptosis repair surgery.…”

Section: Surgical Techniques In the Literaturementioning

confidence: 99%

“…Two patients were overcorrected within 1 mm and eight patients were undercorrected within 1 mm. This technique confers the advantage of addressing upper-and lower-eyelid malposition simultaneously but may be limited by the amount of donor tissue available 19. Mombaerts and Groet described a technique using a debulked preparatory prosthesis aimed at vertically aligning the pupils without any ptosis correction (i.e.…”

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confidence: 99%

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Blepharoptosis in the Setting of an Ocular Prosthesis: A Literature Review and Description of the Novel Use of a Template Prosthesis

Kwan¹,

Dermarkarian²,

Cypen³

et al. 2022

US Ophthalmic Review

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Blepharoptosis in acquired anophthalmia is common, yet the best treatment methods remain uncertain. We review the literature for descriptions of pathophysiology or management of blepharoptosis in acquired anophthalmic sockets and describe a technique and results of using a template prosthesis to facilitate intraoperative adjustment during external levator resection ptosis repair. The PubMed database was searched in October 2021 to identify all studies in English describing the pathophysiology or treatment of anophthalmic blepharoptosis. Seventy-one articles were identified; 13 met inclusion criteria and were reviewed. We also reviewed the charts of 12 adult patients with acquired anophthalmia undergoing external levator resection using a limbal templated, non-detailed, customshaped prosthesis. We assessed results (margin to reflex distance 1 [MRD1] and symmetry), as well as the number of eye prosthesis modifications. According to the literature, levator pathophysiology and orbital volume loss are important variables in anophthalmic ptosis. Prosthesis augmentation may be useful to treat ptosis in many instances, but may be limited by decreased motility and a poorer overall prosthesis fit. A variety of blepharoptosis repair surgical techniques have been described with reported success rates of 88–100%. The use of a template prosthesis to facilitate intraoperative lid positioning in ptosis repair was effective in 12 patients. All patients had MRD1 within 1 mm of target and with good facial symmetry. There were no complications or need for revision ptosis repair or redundancy in prosthesis fabrication at 3 years (mean; minimum 6-month) follow-up.

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Section: Surgical Techniques In the Literaturementioning

confidence: 99%

mentioning

confidence: 99%