Indications and results in anophthalmic socket reconstruction using dermis-fat graft

Orapan Aryasit, Passorn Preechawai Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand Objectives: To present the indications for a dermis-fat graft in anophthalmic socket reconstruction and evaluate the results of this procedure.Design: Retr...

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Main Authors: Aryasit O, Preechawai P
Format: Article
Language:English
Published: Dove Medical Press 2015-05-01
Series:Clinical Ophthalmology
Online Access:http://www.dovepress.com/indications-and-results-in-anophthalmic-socket-reconstruction-using-de-peer-reviewed-article-OPTH
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author Aryasit O
Preechawai P
author_facet Aryasit O
Preechawai P
author_sort Aryasit O
collection DOAJ
description Orapan Aryasit, Passorn Preechawai Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand Objectives: To present the indications for a dermis-fat graft in anophthalmic socket reconstruction and evaluate the results of this procedure.Design: Retrospective review, interventional case series.Methods: In our study, there were 41 patients who received either primary or secondary dermis-fat graft between August 1, 2007 and July 31, 2012 at Songklanagarind Hospital.Results: The type of dermis-fat graft used in our study consisted of both primary dermis-fat grafts (6/41) and secondary dermis-fat grafts (35/41). The major indications for dermis-fat graft were exposure (13/41), extrusion (11/41), and volume insufficiency with a shallow fornix (10/41), which accounted for 82.9% of the total cases. A total of 30 patients were able to wear the eye prosthesis over a mean follow-up time of 32.3±19.0 months. The success rate of the dermis-fat graft alone was 73.3%, while that of the simultaneous dermis-fat graft and mucous-membrane graft was 25%.Conclusion: The most common indications for a dermis-fat graft were extrusion and large exposure. Dermis-fat graft is an alternative implant type in complicated enucleation/evisceration patients, which has a good success rate. Keywords: dermis-fat graft, anophthalmic socket, extrusion, exposure
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spelling doaj.art-94a532096ffb4905a268e61c27dc7ea82022-12-21T22:58:58ZengDove Medical PressClinical Ophthalmology1177-54832015-05-012015default79579921580Indications and results in anophthalmic socket reconstruction using dermis-fat graftAryasit OPreechawai POrapan Aryasit, Passorn Preechawai Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand Objectives: To present the indications for a dermis-fat graft in anophthalmic socket reconstruction and evaluate the results of this procedure.Design: Retrospective review, interventional case series.Methods: In our study, there were 41 patients who received either primary or secondary dermis-fat graft between August 1, 2007 and July 31, 2012 at Songklanagarind Hospital.Results: The type of dermis-fat graft used in our study consisted of both primary dermis-fat grafts (6/41) and secondary dermis-fat grafts (35/41). The major indications for dermis-fat graft were exposure (13/41), extrusion (11/41), and volume insufficiency with a shallow fornix (10/41), which accounted for 82.9% of the total cases. A total of 30 patients were able to wear the eye prosthesis over a mean follow-up time of 32.3±19.0 months. The success rate of the dermis-fat graft alone was 73.3%, while that of the simultaneous dermis-fat graft and mucous-membrane graft was 25%.Conclusion: The most common indications for a dermis-fat graft were extrusion and large exposure. Dermis-fat graft is an alternative implant type in complicated enucleation/evisceration patients, which has a good success rate. Keywords: dermis-fat graft, anophthalmic socket, extrusion, exposurehttp://www.dovepress.com/indications-and-results-in-anophthalmic-socket-reconstruction-using-de-peer-reviewed-article-OPTH
spellingShingle Aryasit O
Preechawai P
Indications and results in anophthalmic socket reconstruction using dermis-fat graft
Clinical Ophthalmology
title Indications and results in anophthalmic socket reconstruction using dermis-fat graft
title_full Indications and results in anophthalmic socket reconstruction using dermis-fat graft
title_fullStr Indications and results in anophthalmic socket reconstruction using dermis-fat graft
title_full_unstemmed Indications and results in anophthalmic socket reconstruction using dermis-fat graft
title_short Indications and results in anophthalmic socket reconstruction using dermis-fat graft
title_sort indications and results in anophthalmic socket reconstruction using dermis fat graft
url http://www.dovepress.com/indications-and-results-in-anophthalmic-socket-reconstruction-using-de-peer-reviewed-article-OPTH
work_keys_str_mv AT aryasito indicationsandresultsinanophthalmicsocketreconstructionusingdermisfatgraft
AT preechawaip indicationsandresultsinanophthalmicsocketreconstructionusingdermisfatgraft