Orbital Reconstruction Using Dermal Fat Graft After Removal of Magnetic Orbital Prosthesis

The authors present a case of dermal fat graft for eye socket reconstruction after the removal of magnetic orbital prosthesis. A 68-year-old male who had a damage to the left eye by trauma more than 40 years ago, and the eyeball was removed, and magnetic orbital prosthesis surgery was performed. The patient was using the magnetic orbital prosthesis for many years, but upon receiving MRI examination, the magnet became an obstacle, and came to the authors' department to remove it. At the first visit, pelvic drops on the affected side and mild depression of the upper eyelid were observed, and the magnetic orbital prosthesis was transparent through the conjunctiva. Under general anesthesia, made incision horizontally to the conjunctiva and removed magnetic orbital prosthesis. After removing the magnetic orbital prosthesis, the dermal fat collected from the groin was transplanted excessively to the tissue defect, and the wound was closed. And also, the fat injection was performed to the upper eyelid. Two years after the operation, condition of the dermal fat graft is stable, there is no problem wearing the new orbital prosthesis.