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Hydrophilic expanders for the congenital anophthalmic socket
Advances in Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1992
Summary
Congenital socket contraction is challenging. A new hydrophilic expander helps manage severely contracted sockets, potentially avoiding early surgery by enabling conformer fitting.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Biomaterials
Background:
- Congenital socket contraction presents significant management challenges.
- Early surgical intervention is often considered despite associated difficulties.
- Understanding orbital development is crucial for effective treatment.
Purpose of the Study:
- To present a management protocol for congenitally contracted sockets.
- To evaluate the efficacy of a novel hydrophilic expander in severe cases.
- To correlate socket types with ocular presence or absence.
Main Methods:
- A series of patients with contracted sockets were analyzed.
- A new hydrophilic expander was utilized in severely contracted sockets.
- Factors influencing orbital growth and development were examined.
Main Results:
- Two distinct types of contracted sockets were identified.
- These types correlated with the presence or absence of an ocular remnant.
- The hydrophilic expander facilitated hard conformer fitting in anophthalmic sockets with lid phimosis.
Conclusions:
- The hydrophilic expander is effective in managing severely contracted anophthalmic sockets.
- This approach can obviate the need for early surgical intervention.
- The findings support a revised management protocol for these challenging conditions.
