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Socket Reconstruction

  • Jean-Paul J. Abboud
  • Aaron Mason
  • Jennifer A. Sivak-Callcott
Chapter

Abstract

The goal of socket reconstruction is to provide a comfortable ocular prosthesis with good movement that looks natural and resembles the contralateral side. Evaluation and surgery of the anophthalmic socket is divided into five categories: socket volume, socket lining, eyelid position, periocular contours, and implant exposure. Recognizing and addressing deficiencies in each of these areas are necessary to create a healthy socket.

Keywords

Anophthalmia Socket Anophthalmic socket Fornix Fornices Implant Exposure Dermis fat Mucosa Graft 

Supplementary material

419986_5_En_52_MOESM1_ESM.mp4 (141.5 mb)
Video 52.1 Orbital implant exchange. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/4/12-implant-exchange.htm (MP4 144872 kb)
419986_5_En_52_MOESM2_ESM.mp4 (96.7 mb)
Video 52.2 Enophthalmos wedge implant. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/3/11-enophthalmos-wedge-implant.htm (MP4 99001 kb)
419986_5_En_52_MOESM3_ESM.mp4 (168.3 mb)
Video 52.3 Mucous membrane graft for lower fornix reconstruction. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/4/3-lower-mucous-membrane-graft.htm (MP4 172359 kb)
419986_5_En_52_MOESM4_ESM.mpeg
Video 52.4 Mucous membrane graft with fornix sutures for shallow fornix in an anophthalmic socket. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/10/71-fornix-sutures-anophthalmic-socket.htm (MPEG 240970 kb)
419986_5_En_52_MOESM5_ESM.mp4 (120.4 mb)
Video 52.5 Harvesting of dermis-fat graft. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/3/5-dermis-fat-graft-harvest.htm (MP4 123260 kb)
419986_5_En_52_MOESM6_ESM.mp4 (175.4 mb)
Video 52.6 Dermis-fat graft in anophthalmos. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/3/3-dermis-fat-graft.htm (MP4 179568 kb)
419986_5_En_52_MOESM7_ESM.mp4 (147.2 mb)
Video 52.7 Dermis-fat graft in anophthalmos. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/3/4-dermis-fat.htm (MP4 150760 kb)
419986_5_En_52_MOESM8_ESM.mp4 (123 mb)
Video 52.8 Scleral patch graft for exposed orbital implant. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/3/15-scleral-patch-graft.htm (MP4 125918 kb)
419986_5_En_52_MOESM9_ESM.mp4 (128.1 mb)
Video 52.9 Scleral patch graft for exposed orbital implant. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/13/105-scleral-patch-graft-exposed-implant.htm (MP4 131148 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jean-Paul J. Abboud
    • 1
  • Aaron Mason
    • 2
  • Jennifer A. Sivak-Callcott
    • 3
  1. 1.Ophthalmic Plastic and Reconstructive SurgeryWest Virginia University Eye InstituteMorgantownUSA
  2. 2.WVU Healthcare-Cosmetic SurgeryMorgantownUSA
  3. 3.Mon Health Oculofacial SurgeryMon Health SystemMorgantownUSA

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