title: Anophthalmic socket pain.
abstract: We examined and treated four patients with anophthalmic socket pain. Conditions responsible for this problem in this series included scleritis after evisceration, amputation neuroma, pain from a skull-base meningioma, and chemical dependency with drug-seeking behavior. The pain associated with the scleritis after evisceration responded to removal of the scleral remnant. The pain associated with the amputation neuroma responded to removal of the orbital implant and its pseudocapsule in which the amputation neuroma was embedded. The pain associated with the meningioma was intractable. The pain associated with the chemical dependency remained a persistent problem. A careful history and physical examination are critical in the evaluation of anophthalmic socket pain. Computed tomography or magnetic resonance imaging may be helpful in some cases.
authors.affiliation: Department of Surgery, University of Tennessee Medical Center, Knoxville.
authors.forename: H J
authors.initials: HJ
authors.lastname: Glatt
authors.forename: P B
authors.initials: PB
authors.lastname: Googe
authors.forename: T
authors.initials: T
authors.lastname: Powers
authors.forename: D J
authors.initials: DJ
authors.lastname: Apple
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003390:Cranial Nerve Neoplasms / Q000150:complications; D015353:Eye Enucleation; D017234:Eye Evisceration; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications; D008579:Meningioma / Q000150:complications; D009463:Neuroma / Q000150:complications; D009901:Optic Nerve Diseases / Q000150:complications; D009916:Orbital Diseases / Q000209:etiology*; D010146:Pain / Q000209:etiology*; D015423:Scleritis / Q000150:complications; D019966:Substance-Related Disorders / Q000150:complications