[Post enucleation socket syndrome - new and established surgical solutions].

Area of Science:

• Ophthalmology
• Plastic Surgery
• Reconstructive Surgery

Context:

• Orbital volume reduction following enucleation or evisceration is common.
• Atrophy of orbital fat and connective tissue leads to volume loss.
• This shrinkage can result in ocular prosthesis misfit and poor cosmetic appearance.

Purpose:

• To review and discuss secondary surgical techniques for orbital volume augmentation.
• To address post-enucleation socket syndrome (PESS).
• To provide guidance on indications and potential outcomes for various augmentation methods.

Summary:

• Post-enucleation socket syndrome (PESS) results from orbital volume shrinkage after eye removal.
• Surgical options for orbital volume augmentation include secondary orbital implants, implant exchange, orbital floor implants, and injectable fillers.
• These techniques aim to correct volume deficits and improve prosthesis fit and aesthetics.

Impact:

• Improved functional and aesthetic outcomes for patients undergoing enucleation or evisceration.
• Enhanced patient satisfaction through better prosthesis fit and cosmetic results.
• Provides a comprehensive overview of surgical management strategies for PESS.