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Year : 2019  |  Volume : 11  |  Issue : 2  |  Page : 62-64

Reconstructing the socket

Department of Ophthalmology, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Santanu Das
70, Ananda Mohan Bose Road, Kolkata - 700 074, West Bengal
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DOI: 10.4103/sjopthal.sjopthal_26_19

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A 23-year-old male patient presented with a history of trauma to his right eye with a stick at the age of 1 year for which enucleation was done. No prosthesis was placed at that time. On examination, right eye fornices were contracted. Dermis fat grafting (DFG) with fornix formation sutures (FFS) was done. Postoperatively, there was shrinking of the inferior fornix. Buccal mucosal grafting with amniotic membrane grafting and inferior FFS was done. Postoperatively, the inferior fornix was well-formed. After 8 weeks, prosthesis was placed which fitted perfectly and gave good cosmetic results. Late presenting contracted anophthalmic sockets are difficult to manage. DFG takes care of both surface and volume deficit in an adult anophthalmic socket. When DFG is combined with FFS followed by a good ocular prosthesis, one can achieve excellent prosthesis even in such challenging cases.

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