[Dermis-fat graft. Possibilities and limitations]

Various alloplastic orbital implants, preferably with a spherical configuration, are employed for the routine care of an enucleated socket. Alternately, an autologous dermis-fat graft can also be used. It represents a safe alternative to alloplastic orbital implants. The method does not require preserved sclera, thus excluding even theoretically possible transfer of pathogens such as viruses or prions in sclera preserved in alcohol. Loss of the transplant or other serious complications were only very rarely observed, late extrusion is unknown. Due to its high degree of safety concurrent with excellent functional and cosmetic results, the dermis-fat transplant is particularly advantageous for young patients. In cases of complicated orbits and contracted sockets the method of dermis-fat transplantation often represents the only promising option.