Related Experiment Video
Updated: Dec 16, 2025
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
238
Autologous pericranium grafts for large orbital implants
Nuria Ibáñez Flores1, Roberto Secondi1, Erika Becerra Rangel1
1Institut Catala de Retina, Barcelona, Catalunya, Spain.
European Journal of Ophthalmology
|July 4, 2020
Summary
Autologous pericranium grafts effectively reconstruct contracted anophthalmic sockets, enabling larger orbital implants. This procedure offers a promising solution for patients with significant orbital volume deficits, leading to high aesthetic satisfaction.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Anophthalmic socket contraction and orbital volume deficit pose challenges for ocular prosthesis placement.
- Existing conjunctiva is often insufficient to cover larger orbital implants in contracted sockets.
Purpose of the Study:
- To evaluate the efficacy of autologous pericranium grafts in reconstructing contracted anophthalmic sockets.
- To assess the ability of this technique to accommodate larger primary or secondary orbital implants.
Main Methods:
- Retrospective study of 13 patients with contracted anophthalmic sockets and orbital volume deficit.
- Surgical technique involved placement of a large orbital implant covered by an autologous pericranium graft.
- Patients were divided into two groups based on baseline socket condition (Group A: primary evisceration; Group B: secondary reconstruction).
Main Results:
- Complete graft epithelialization occurred at a mean of 47.3 days.
- No implant exposure or shrinkage was observed during a mean follow-up of 9.5 months.
- Postoperative complications included conjunctival granuloma (38.5%) and seroma (7.7%); all patients reported satisfaction with aesthetic outcomes.
Conclusions:
- Autologous pericranial grafts are effective for reconstructing contracted anophthalmic sockets.
- This method facilitates the use of larger orbital implants, improving prosthesis fit and aesthetics.
- Further validation in larger patient cohorts is recommended.
