Reconstruction of the partially contracted ocular socket or fornix.
Foreshortening of the conjunctival fornices by symblepharon or scar formation can result in a variety of cosmetic and functional abnormalities for the anophthalmic and the sighted patient. To correct this problem, we have modified a technique for the treatment of totally contracted ocular sockets. Unlike the procedure for total reconstruction of the socket that uses a custom-designed conformer wrapped with a full-thickness mucous membrane graft, reconstruction of a partially contracted socket uses a 0.5-mm-thick mucous membrane graft sutured to the resected socket conjunctiva and splinted in place by a custom-designed conformer. Seventeen patients with a variety of underlying pathologic conditions associated with trauma and prior surgery underwent successful ocular fornix reconstruction using this technique.
Karesh
J W
JW
Department of Ophthalmology, University of Maryland, Baltimore 21201.
Putterman
A M
AM
D000293:Adolescent; D000328:Adult; D002648:Child; D002921:Cicatrix / Q000150:complications; D005137:Eye, Artificial; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation; D009915:Orbit / Q000601:surgery*; D009916:Orbital Diseases / Q000209:etiology / Q000601:surgery / Q000628:therapy; D019736:Prostheses and Implants; D013518:Surgery, Plastic