Analysis of the factors involved in cosmetic failure following excision of the eye.

Abstract

SUMMARY We graded the overall cosmetic outcome of 56 patients who required excision of the eye. Each patient was then subjected to a more detailed analysis of the specific abnormalities associated with excision of the eye in order to discover which are associated most consistently with a poor cosmetic result. The only factor showing a statistically significant variation with the overall cosmetic outcome was the degree of upper lid sulcus. Taken individually the other features showed no statistically significant correlation. When each finding was scored, the averaged sum of the scores was related to cosmetic outcome with statistical significance. A method of quantifying orbital volume loss is described.

Abnormalities of Orbital Volume

“…1) (20). Several pathophysiologic mechanisms have been proposed for these findings, namely, the volume deficit related to the eye loss (21), rotatory displacement of the orbital contents (22)(23)(24), disturbance in the spatial architecture and relationships of the tissue components of the orbit (25), and contraction of orbital myofibroblasts (26).…”

Artificial eye amplitudes and characteristics in enucleated socket with porous polyethylene spherical and quad-motility implant

“…Those patients without orbital implants had a mean shell weight of 3.1 g, as compared with 2.8 g in those with implants (26) . The patients of this study, with spherical orbital implants had a mean artificial eye weight of 1.79 g, as compared with 2.69 g in those with quad-motility orbital implant.…”

Acquired Anophthalmic Socket: Clinical Course and Treatment Options

“…Later, Smit et al 74 added the feature of prosthesis tilting associated with an anterior-to-posterior and superior-to-inferior rotation of orbital tissues. It has been proposed that soft tissue movements within the orbit and volume loss are accountable for all of these symptoms 13,73–75 . The question of whether a balanced state will be reached if the missing volume is returned, thereby preventing the appearance of postenucleation socket syndrome, remains unanswered.…”

“…It has been proposed that soft tissue movements within the orbit and volume loss are accountable for all of these symptoms. 13,[73][74][75] The question of whether a balanced state will be reached if the missing volume is returned, thereby preventing the appearance of postenucleation socket syndrome, remains unanswered.…”