Clinical Outcomes Following Simultaneous Orbital Implant Insertion Operation and Dermo-Fat Graft for Anophthalmos Patients.

Park, Jae Yeong; Choi, Hee Young

doi:2015.56.2.155

J Korean Ophthalmol Soc > Volume 56(2); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(2):155-161.
DOI: https://doi.org/10.3341/jkos.2015.56.2.155 Published online February 15, 2015.

Clinical Outcomes Following Simultaneous Orbital Implant Insertion Operation and Dermo-Fat Graft for Anophthalmos Patients.

Jae Yeong Park, Hee Young Choi

¹Department of Ophthalmology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. hychoi@pusan.ac.kr
²Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

무안구증 환자에서 안와 삽입물 삽입과 진피-지방 이식 동시 수술의 결과

박재영¹⋅최희영^1,2

부산대학교 의학전문대학원 부산대학교병원 안과학교실¹, 부산대학교병원 의생명연구원²

Abstract

PURPOSE
To investigate the clinical results of patients who have undergone simultaneous dermo-fat graft and insertion of orbital implants in patients who are unable to put on an ocular prosthesis due to severe conjunctival sac contracture or large orbital implant exposure. METHODS: A retrospective analysis was performed of patients who underwent dermo-fat graft simultaneously with orbital implant insertion for replacement of the conjunctival sac from 2007 to 2012. Eight eyes were enrolled in this study and all patients were followed up for phthisis bulbi or implant exposure. RESULTS: Among the eight eyes, five eyes (62.5%) that were diagnosed with orbital implant exposure underwent orbital implant exchange and dermo-fat graft, and two eyes (25%) were anophthalmic enophthalmic patients and underwent secondary orbital implant insertion and dermo-fat graft. One patient (12.5%) underwent orbital implant insertion and dermo-fat graft simultaneously during the evisceration operation. We followed the progress for 46.3 months. For seven out of eight eyes, the results of the wound healing process were successful. One patient underwent removal and reinsertion of the orbital implant with dermo-fat graft, and the wound in this case healed well. However, after five months, dermo-fat re-graft was performed for orbital implant re-exposure and it was not exposed thereafter. Overall cosmetic appearance was satisfactory in each patient, and all patients were able to comfortably retain a prosthesis. CONCLUSIONS: We found that undergoing dermo-fat graft simultaneously when performing orbital implant insertion is effective for replacement of the conjunctival sac and orbital volume.

Key Words: Dermo-fat graft;Replacement of conjunctival sac;Replacement of orbital volume