Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report
Dermis-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 descri...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2008-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=147;epage=148;aulast=Raizada |
| _version_ | 1819291925687042048 |
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| author | Raizada Kuldeep Shome Debraj Honavar Santosh |
| author_facet | Raizada Kuldeep Shome Debraj Honavar Santosh |
| author_sort | Raizada Kuldeep |
| collection | DOAJ |
| description | Dermis-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 <i> in situ</i> 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. |
| first_indexed | 2024-12-24T03:46:23Z |
| format | Article |
| id | doaj.art-446fea1a215d427f84942b6b94314243 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 |
| language | English |
| last_indexed | 2024-12-24T03:46:23Z |
| publishDate | 2008-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-446fea1a215d427f84942b6b943142432022-12-21T17:16:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47382008-01-01562147148Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case reportRaizada KuldeepShome DebrajHonavar SantoshDermis-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 <i> in situ</i> 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=147;epage=148;aulast=RaizadaContracted socketsocket expansionstem pressure socket-expander |
| spellingShingle | Raizada Kuldeep Shome Debraj Honavar Santosh Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report Indian Journal of Ophthalmology Contracted socket socket expansion stem pressure socket-expander |
| title | Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report |
| title_full | Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report |
| title_fullStr | Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report |
| title_full_unstemmed | Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report |
| title_short | Management of an irradiated anophthalmic socket following dermis-fat graft rejection: A case report |
| title_sort | management of an irradiated anophthalmic socket following dermis fat graft rejection a case report |
| topic | Contracted socket socket expansion stem pressure socket-expander |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=147;epage=148;aulast=Raizada |
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