Correction of superior sulcus defects after enucleation.
Anophthalmic patients can develop a deep recess or sulcus in the upper lid, usually associated with enophthalmos. If due to an absence or loss of a socket implant, a secondary one can be implanted. In those cases with a socket implant, one method of treatment is directed at adding a silicone block to the inferior orbit to cause a forward movement of fat to fill out the upper eyelid as well as reducing the enophthalmos. Another approach, particularly if enophthalmos is minimal, is to directly implant a dermis-fat graft into the upper eyelid. The graft is taken from above the iliac crest and the amount implanted should create a slight overcorrection, allowing for some fat absorption.
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D000273:Adipose Tissue / Q000637:transplantation; D015353:Eye Enucleation; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D009915:Orbit / Q000601:surgery; D012826:Silicone Elastomers
D012826:Silicone Elastomers