Pitfalls of autogenous lipodermal implantation to the orbit

Autogenous kinetic lipodermal implantation in the orbit is an effective postenucleation procedure that gives optimal socket volume, motility, and cosmesis. The major complication of autogenous lipodermal implantation is graft atrophy. Other minor complications are infection, hair retention, conjunctival cysts, wound dehiscence, and suture granuloma. We presented a systematic description of the technique emphasizing prevention of complications by proper selection of patients, meticulously performed surgery, and appropriate postoperative management. In particular, attention should be paid to atraumatic dissection of the socket-respecting surgical anatomy, hemostasis, identification and placement of sutures in the extraocular muscles, atraumatic and aseptic manipulation of the graft, and proper anastomosis of the graft to the recipient bed.