J Korean Ophthalmol Soc.  1991 Sep;32(9):720-726.

Clinical Efficacy of Dermis-Fat Graft vs. Posterior Tenon's Capsule Suturing in Anophthalmic Orbit

• Kim TK
• Chung WS

Abstract

The anatomic and physiologic changes of the anopthalmic orbit affect cosmetic appearance of the patient and function of the socket and the prosthesis. During the past three years, the authors studied 13 cases of dermis-fat graft and 27 cases of posterior Tenon's capsule suturing with a plastic implant, and compared the post'operative effects of the two procedures. Dermis-fat graft produced good fornix formation with no remarkable fat atrophy after both primary and secondary proceddure. Posterior Tenon's capsule suture technique showes good effect to keep implant from migration or extrusion. Size of the plastic implant and fixation of the extraocular muscles were important factors also for good cosmesis and implant motility. There revealed no significant difference between the two procedures in EOM motility, enophthalmos, deep superior sulcus deformity, implant migration or prolapse etc.

Keyword

Dermis fat graft; Posterior Tenon's capsule; Implant migration; Superior sulcus deformity