Management of the anophthalmic socket in pediatric patients.
OBJECTIVE
The management of the pediatric anophthalmic socket is distinguished from adult anophthalmia, because normal socket and facial development is dependent on orbital growth. Recent literature on managing anophthalmic sockets is discussed with a focus on the pediatric patient.


RESULTS
There are many studies discussing the management of the anophthalmic socket, but few are randomized clinical studies. Although the management of anophthalmia in the child is fraught with challenges and nuances, the principal aim is to encourage socket growth.


CONCLUSIONS
Both congenital and acquired pediatric anophthalmia are discussed. Surgical decisions, choice of orbital implants, various methods of socket expansion, and socket reconstructions are examined.
Chen
David
D
Center for Aesthetic Eyelid and Facial Surgery, New England Eye Center, Tufts University, Boston, Massachusetts, USA. david8072@yahoo.com
Heher
Katrinka
K
D000853:Anophthalmos / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D015353:Eye Enucleation; D017234:Eye Evisceration; D006801:Humans; D007223:Infant; D009915:Orbit / Q000601:surgery*; D020273:Orbital Implants; D015626:Tissue Expansion / Q000379:methods; D015625:Tissue Expansion Devices