title: The Anophthalmic Socket - Reconstruction Options.
abstract: Keeping the eye is impossible, functionality is lost and aesthetic requirements are high. What do we do? Which approach is right? This is the dilemma we face whenenucleation or evisceration are unavoidable. The patient loses a sensory organ with a very important function and, at the same time, is faced with a major aesthetic defect, leading to significant anxiety. The purpose of this article is to describe the different reconstruction techniques for anophthalmic sockets. In preparing the anopthalmic socket for prosthesis fitting we have several options: dermis-fat graft with a very good biocompatibility, the Guthoff artificial implant, which provides better motility or the methyl methacrylate implant inside the muscle cone. Each option has advantages and disadvantages but the choice of technique should be adapted to the needs and expectations of the patient, taking into account both time and cost.
authors.affiliation: Emergency Eye Hospital, Bucharest.
authors.forename: S
authors.initials: S
authors.lastname: Schmitzer
authors.affiliation: Oftalmestet Clinic, Bucharest.
authors.forename: C
authors.initials: C
authors.lastname: Simionescu
authors.affiliation: Oftalmestet Clinic, Bucharest.
authors.forename: C
authors.initials: C
authors.lastname: Alexandrescu
authors.affiliation: Oftalmestet Clinic, Bucharest.
authors.forename: M
authors.initials: M
authors.lastname: Burcea
mesh_terms: D000853:Anophthalmos / Q000601:surgery*; D006801:Humans; D009915:Orbit / Q000473:pathology* / Q000601:surgery*; D020273:Orbital Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation
keywords: anophthalmia; reconstruction