Advertisement

Socket Complications

  • Keith R. Pine
  • Brian H. Sloan
  • Robert J. Jacobs

Abstract

Most prosthetic eyes are cosmetically satisfactory and cause little trouble in use. Sometimes, however, the socket and eyelids are distorted due to scarring, tissue loss or through recession over time. These complicated sockets present a challenge to the ocular prosthetist and the oculo-plastic surgeon. Modifications to the prosthesis may go a long way towards improving cosmetic outcomes and, in many cases, offer a satisfactory alternative to oculo-plastic surgery. However, surgical procedures provide more scope for improvement than modifying the prosthesis alone, and it is important that patients are fully informed and made aware of the range of solutions offered by both prosthetist and surgeon. One well-informed patient may happily accept a partial solution to their problem to avoid the inconvenience of surgery, while another might want everything done that can be addressed safely and effectively. Surgical interventions used to address specific issues need be considered within the context of the entire face as each change has implications for other facial features. Often, the best results will be achieved through a combination of both socket surgery and prosthesis modification.

Keywords

Orbital Volume Levator Function Tarsal Plate Giant Papillary Conjunctivitis Levator Aponeurosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Nguyen J, Ivan D, Esmaeli B. Conjunctival squamous cell carcinoma in the anophthalmic socket. Ophthal Plast Reconstr Surg. 2008;24(2):98–101.PubMedCrossRefGoogle Scholar
  2. 2.
    Shibata M, Usui Y, Ueda S, Matsumura H, Nagao T, Goto H. A case of orbital sebaceous gland carcinoma developing in an anophthalmic socket 65 years after enucleation. Clin Ophthalmol. 2013;7:1825–7.PubMedCentralPubMedCrossRefGoogle Scholar
  3. 3.
    Kelly K. A discussion of custom pressure conformers. J Am Soc Ocularists. 1991;1:19–24.Google Scholar
  4. 4.
    Dudash R. Prosthesis fabrication over extruding implants. J Am Soc Ocularists. 1990;1:9–14.Google Scholar
  5. 5.
    Worrell E. Hollow prosthetic eyes. J Maxillofac Prosthet Technol. 2014;13(1):8–12.Google Scholar
  6. 6.
    De Voe AG. Experiences with the surgery of the anophthalmic orbit. Am J Ophthalmol. 1945;28:1346–51.CrossRefGoogle Scholar
  7. 7.
    Sugar HS, Forrester HJ. Methacrylate resin implants for sunken upper eyelid following enucleation. Am J Ophthalmol. 1946;29:993–1000.PubMedCrossRefGoogle Scholar
  8. 8.
    Smith B, Obear M, Leone CR. The correction of enophthalmos by glass bead implantation. Am J Ophthalmol. 1967;64:1088–93.PubMedCrossRefGoogle Scholar
  9. 9.
    Zbylski JK. Correction of lower eyelid ptosis in the anophthalmic socket with an autogenous ear cartilage graft. Plast Reconstr Surg. 1977;61:220–3.CrossRefGoogle Scholar
  10. 10.
    Dresner SC, Codère F, Corriveau C. Orbital volume augmentation with adjustable prefabricated methylmethacrylate subperiosteal implants. Ophthalmic Surg. 1991;22(1):53–6.PubMedGoogle Scholar
  11. 11.
    Nasr AM, Jabak MH, Batainah Y. Orbital volume augmentation with subperiosteal room-temperature-vulcanized silicone implants: a clinical and histopathologic study. Ophthal Plast Reconstr Surg. 1994;10(1):11–21.PubMedCrossRefGoogle Scholar
  12. 12.
    Shah S, Rhatigan M, Sampath R, Yeoman C, Sunderland S, Brammer R, et al. Use of Proplast 2 as a subperiosteal implant for the correction of anophthalmic enophthalmos. Br J Ophthalmol. 1995;79(9):830–3.PubMedCentralPubMedCrossRefGoogle Scholar
  13. 13.
    Chen W. Oculoplastic surgery the essentials. New York: Thieme; 2001.CrossRefGoogle Scholar
  14. 14.
    Guthoff R, Katowitz J, editors. Oculoplastics and orbit. Heidelberg: Springer - Berlin; 2010.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Keith R. Pine
    • 1
  • Brian H. Sloan
    • 2
  • Robert J. Jacobs
    • 1
  1. 1.School of Optometry and Vision ScienceThe University of AucklandAucklandNew Zealand
  2. 2.New Zealand National Eye CentreThe University of AucklandAucklandNew Zealand

Personalised recommendations