J Korean Ophthalmol Soc.  2008 Mar;49(3):377-383. 10.3341/jkos.2008.49.3.377.

Reconstruction of Contracted Anophthalmic Socket with Acellular Dermal Allograft

• Oh DE
• Kim YD

• KMID: 2211299
• DOI: http://doi.org/10.3341/jkos.2008.49.3.377

Abstract

PURPOSE: To study the use of acellular dermal allografts for the reconstruction of contracted anophthalmic sockets.
METHODS
A retrospective analysis was performed on 12 patients with contracted sockets who underwent reconstructive surgery using acellular dermal allografts from 2002 to 2006.
RESULTS
The mean age of the patients was 44.4 years. The mean duration of conjunctival sac contracture after removal of the eyeball was 21.4 years. In 4 patients, acellular dermal allografts were used as spacer grafts to elevate the eyelids, and in 8 patients the allografts were used as a conjunctival grafting material. All patients were able to wear ocular prostheses comfortably 2.2 months after surgery with acceptable cosmesis. There were no serious complications, such as infections or graft rejections during follow-up period.
CONCLUSIONS
When used as conjunctival grafting materials and tarsal substitutes to elevate patients' eyelids, acellular dermal allografts gave cosmetically and functionally acceptable results in the surgical rehabilitation of contracted sockets.

Keyword

Acellular dermal allograft; Anophthalmic socket contracture

MeSH Terms

Contracts
Contracture
Eye, Artificial
Eyelids
Follow-Up Studies
Graft Rejection
Humans
Retrospective Studies
Transplantation, Homologous
Transplants

Figure

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  Figure 1. The correction of contracted socket. (A) As a tarsal substitute to elevate the eyelid. (B) As a conjunctival grafting material.

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  Figure 2. Case 2. (A) Preoperative photograph showed severe socket contracture. (B) Postoperative photograph taken 1 month after the operation. We performed upper and lower conjunctival sac reconstruction using acellular dermal graft as a conjunctival grafting material. (C), (D) Postoperative photograph taken 4 months after the operation. He was able to wear the prosthesis with good cosmesis.

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  Figure 3. Case 7. (A) Preoperative photograph showed inferior dystopia, lower lid entropion, and retraction in a 50-year-old woman with anophthalmos. (B) She underwent the lower eyelid reconstruction with acellular dermal graft to elevate the eyelid. Postoperative photograph 8 months after the operation. Good lower eyelid position was achieved.

Reference

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