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Correction of superior sulcus defects after enucleation
Advances in Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1990
Summary
Anophthalmic patients with upper eyelid sulcus can be treated with secondary implants or fat grafting. Surgical techniques aim to restore eyelid contour and reduce enophthalmos for improved aesthetics.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Anophthalmic patients may develop deep upper eyelid sulci, often linked with enophthalmos.
- This defect can result from the absence or loss of a primary orbital implant.
Purpose of the Study:
- To describe surgical strategies for correcting deep upper eyelid sulci in anophthalmic patients.
- To evaluate methods for improving eyelid contour and reducing enophthalmos.
Main Methods:
- Secondary orbital implant placement for severe cases.
- Inferior orbital silicone block insertion to reposition orbital fat.
- Dermis-fat grafting into the upper eyelid for minimal enophthalmos.
Main Results:
- Silicone block augmentation aims to fill the upper eyelid and reduce enophthalmos.
- Dermis-fat grafts, harvested from the iliac crest, provide volume to the upper eyelid.
- Slight overcorrection during grafting accounts for post-operative fat absorption.
Conclusions:
- Surgical correction of upper eyelid sulci in anophthalmic patients is achievable through various implant and grafting techniques.
- Treatment choice depends on the severity of enophthalmos and implant status.
- These procedures can significantly improve the aesthetic appearance of anophthalmic sockets.