Correction of Anophthalmic Enophthalmos with a Three-Staged Procedure: Two Case Reports

Abstract

Surgical correction of an anophthalmic enophthalmos secondary to inappropriate repair of the eye socket involves several difficult aesthetic issues associated with long-term use of a poorly fitting prosthetic eye. In this paper, we present two cases of anophthalmic enophthalmos. During the treatment of the first patient, unsatisfactory cosmetic problems including lower eyelid retraction, hypoglobus, and severe upper eyelid ptosis were revealed. Accordingly, a three-staged procedure was performed on the second patient, including autologous augmentation of the eye socket, correction of lower eyelid retraction with a cartilage graft, and a frontalis sling procedure to correct upper eyelid ptosis.

Lipostructure Plus Platelet Rich Plasma Injections for Enophthalmos Treatment in Patients Carrying Prosthetic Eye- Safety and Efficacy

“…Other complementary procedures such as reconstruction of the lower fornix, canthopexy, lower eyelid spacer implant and eyelid ptosis correction may be further associated in order to improve the stability of the prosthesis [14][15][16][17]. However, these surgical procedures are often not sufficient to completely solve the enophthalmos, the absorption of fat and subsequent modifications and have the disadvantages to be hugely invasive, surgically complex, involve sutures and scars and have high recurrence rates.…”