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Like this presentation? Why not share! Embed Size px. Start on. Show related SlideShares at end. WordPress Shortcode. Sivateja Challa , ophthalmologist Follow. Full Name Comment goes here.
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Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Anophthalmic socket 1. It is usually associated with varying degrees of incomplete development of eyeball 3. A centrally placed, well-covered, buried implant of adequate volume, fabricated from a bio-inert material 2. A socket lined with healthy conjunctiva and fornices deep enough to retain a prosthesis and to permit horizontal and vertical excursion of an artificial eye 3.
Eyelids with normal position and appearance, as well as adequate tone to support a prosthesis 4. A supratarsal eyelid fold that is symmetric with the supratarsal fold of the contralateral eyelid 5. Normal position of the eyelashes and eyelid margin 6. Good transmission of motility from the implant to the overlying prosthesis 7. A comfortable ocular prosthesis that looks similar to the sighted, contralateral globe and in the same horizontal plane Most socket reconstructive surgeries are required to address the following problems: 1.
Contracture of the socket 3. Orbital implant exposure, extrusion, and malposition Modified impression technique impression of the socket is taken Once the impression material sets to a firm consistency, the shape is copied into a wax mold prepared iris—cornea piece is positioned on the front surface of the wax pattern.
Infection 4. Delayed ingrowth of fibrovascular tissue with subsequent tissue breakdown You just clipped your first slide! Clipping is a handy way to collect important slides you want to go back to later. Now customize the name of a clipboard to store your clips. Visibility Others can see my Clipboard. Cancel Save.
The Anophthalmic Socket – Reconstruction Options
Evaluation of the Anophthalmic Socket
Anophthalmia pp Cite as. Anophthalmic socket syndrome, also known as post-enucleation socket syndrome PESS , refers to a constellation of clinical findings that occur in the anophthalmic patient. These changes are primarily characterized by enophthalmos, superior sulcus hollowing, and eyelid malposition, and may be exacerbated by lack of an adequately sized orbital implant, in post-traumatic patients, and by pathophysiological changes associated with wearing an ocular prosthesis. Appropriate management of the anophthalmic patient involves a careful history and physical examination, as well as communication with an ocularist to discuss prosthetic and surgical planning.
This page was enrolled in the Residents and Fellows contest. The contracted socket should not be confused with Post Enucleation Socket Syndrome PESS which is characterized by a deep upper eyelid sulcus, lower lid laxity, and eyelid malpositions without shrinkage or shortening of the soft tissues. As described by Vistnes and Iverson in , enucleation and evisceration result in a large defect and volume deficit. An enucleation involves removing the entire globe via separating recti muscle attachments and the optic nerve at its insertion. An evisceration removes the ocular contents through a space that was previously the cornea.