Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report.

dc.contributor.authorRaizada, Kuldeepen_US
dc.contributor.authorShome, Debrajen_US
dc.contributor.authorHonavar, Santosh Gen_US
dc.date.accessioned2008-03-23en_US
dc.date.accessioned2009-05-29T08:16:22Z
dc.date.available2008-03-23en_US
dc.date.available2009-05-29T08:16:22Z
dc.date.issued2008-03-23en_US
dc.description.abstractDermis-fat graft (DFG) is often the only promising option in cases of severely contracted sockets. However, there is an increased risk of graft failure in irradiated sockets with decreased vascularity. In such difficult cases, repeat DFG implantation also has higher risks of graft failure. We describe an ingenious method of successful management of an irradiated anophthalmic socket following DFG infection and necrosis, with acceptable cosmetic results. At surgery, an orbital impression was taken with ophthalmic grade alginate. Based on this measurement, a custom-made stem pressure socket-expander made up of high density polymethyl methacrylate (PMMA) was fitted, a week post surgery and kept in situ for six weeks. On review, the fornices had considerably deepened. The expander device was removed and the patient was now fitted with a custom-made thicker prosthesis made up of high-density PMMA. The patient has followed up for a year subsequently and the prosthesis has remained stable.en_US
dc.description.affiliationDepartment of Ocularistry, LV Prasad Eye Institute, Hyderabad, India. ocularist@lvpei.org.en_US
dc.identifier.citationRaizada K, Shome D, Honavar SG. Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report. Indian Journal of Ophthalmology. 2008 Mar-Apr; 56(2): 147-8en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/70286
dc.language.isoengen_US
dc.source.urihttps://www.ijo.inen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2636094/en_US
dc.titleManagement of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report.en_US
dc.typeJournal Articleen_US
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