Dermis-fat graft as a movable implant within the muscle cone.
A 31-year-old woman had an extruding ocular implant in her right orbit. After surgically removing the implant, we transferred an autogenous dermis-fat graft from the hip region to the freshly prepared socket. The graft was sutured to the conjunctiva, and a conformer was placed in the socket. Eight weeks postoperatively, the dermis-fat graft was covered with conjunctival epithelium and a prosthesis was fitted successfully. No evidence of infection has occurred. This technique of using composite dermis-fat grafts in enophthalmos avoids recurrent extrusions and corrects the cosmetic problems produced by migrating or extruding implants.
D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D005260:Female; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D016038:Skin Transplantation; D014182:Transplantation, Autologous