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Meshed conjunctival incision technique: an efficient technique for contracted eye socket.
Wei Xin1, Xiong Wei, Li Yun-Ping
1Department of Ophthalmology, The Second Xiangya Hospital of Central South University, Midle Renming Road, No. 139, Changsha 410007, Hunan Province, China.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|February 20, 2013
Summary
This study introduces a novel surgical technique for reconstructing contracted eye sockets, enabling patients to successfully wear ocular prostheses. The meshed conjunctival incision method proved safe and effective for socket reconstruction.
Area of Science:
- Ophthalmology
- Oculoplastic Surgery
Background:
- Forniceal shortening due to scarring can impede ocular prosthesis use.
- Surgical intervention is often necessary to restore socket function.
Purpose of the Study:
- To describe a surgical technique for socket reconstruction in cases of forniceal shortening.
- To evaluate the efficacy of the meshed conjunctival incision technique for contracted eye sockets.
Main Methods:
- Retrospective analysis of 19 patients with contracted eye sockets.
- Forniceal reconstruction using a meshed conjunctival incision technique.
- The technique involved meshed conjunctival incision, lower forniceal reconstruction, and upper fornix incision.
Main Results:
- All 19 patients successfully wore and maintained an ocular prosthesis post-surgery.
- The mean follow-up period was 13.6 months.
- No significant complications like exposure, infection, or extrusion were observed; two patients had mild entropion.
Conclusions:
- The meshed conjunctival incision technique is a safe and effective treatment for contracted eye sockets.
- This method provides aesthetically satisfactory results for most patients.
- The technique offers a simple solution for improving ocular prosthesis retention.
