Surgical management of acquired socket contracture

Abstract

Techniques to treat contracted sockets continue to evolve; however, large multicenter trials as well as an updated classification scheme are needed to devise standardized treatment protocols.

Long-term complications of different porous orbital implants: a 21-year review

“…The foreshortening of the conjunctival fornices and the gradual loss of volume in the socket may eventually lead to fornix loss. Several methods can solve this problem, such as amniotic membrane, radial-free forearm flaps and buccal or hard palate mucosal grafts 25. We used postauricular FTSG to reconstruct the contracted socket.…”

Use of Antimetabolites in the Reconstruction of Severe Anophthalmic Socket Contraction

“…7 Patients with grade 5 socket contraction and who had undergone surgical repair before with adjunct antimetabolite use were included in the study. 7 Patients with grade 5 socket contraction and who had undergone surgical repair before with adjunct antimetabolite use were included in the study.…”

Different Intraorbital Implant Situations and Ocular Prosthetic Rehabilitation

“…[6][7][8] Therefore, an ideal socket with an ideal intraorbital implant may not always be present, and there may be discrepancy in either the position or size of the implant, potentially complicating the ocular rehabilitation. Numerous articles related to intraorbital implants, their benefits and complications are found in the literature, and many surgical 13,14,[21][22][23][24][25][26][27][28][29][30] and prosthetic 2,17,22,31-34 modalities have been described for the management of the enucleated/eviscerated sockets, but there is no simplified approach to reach the correct diagnosis and to simplify the treatment plan, especially for trainees. Therefore, this review aimed to evaluate the effect of different intraorbital implant situations on ocular rehabilitation and the required interdisciplinary surgical and prosthetic treatment approach for rehabilitation of enucleated/eviscerated sockets with compromised implant situations, to provide a comprehensive yet simplified management strategy to rectify present and future complications, with an intent to facilitate and coordinate treatment planning among ophthalmic surgeons, plastic surgeons, ocularists, and maxillofacial prosthodontists involved in management of enucleated/eviscerated sockets.…”