Dermis-fat graft for anophthalmic socket reconstruction: indications and outcomes

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dc.contributor.authorGalindo-Ferreiro, Alicia
dc.contributor.authorKhandekar, Rajiv
dc.contributor.authorAl Hassan, Sultan
dc.contributor.authorAl-Hammad, Fatimah
dc.contributor.authorAl-Subaie, Hamad
dc.contributor.authorSchellini, Silvana Artioli [UNESP]
dc.contributor.institutionRio Hortega Univ Hosp
dc.contributor.institutionKing Khalid Eye Specialist Hosp
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-11-26T17:55:20Z
dc.date.available2018-11-26T17:55:20Z
dc.date.issued2018-09-01
dc.description.abstractPurpose: To evaluate the outcomes of dermis-fat graft procedure for orbital volume replacement in anophthalmic socket. Methods: A retrospective chart review was performed studying all dermis-fat graft surgeries done at King Khlaed Eye Specialist Hospital in the last 10-year period. Sixty-two anophthalmic socket carriers underwent dermis-fat graft during the study period. Data were collected on characteristics of the patients, postoperative complications, cosmesis, and functional results such as the ability to hold an external prosthesis. Results: Mean age of the patients included in the study was 34.2 +/- 9.7 years. There were 38.7% of patients with grade 3 anophthalmic socket, 64.5% of patients had an acquired anophthalmic socket, and dermis-fat graft was performed as a secondary procedure in 61.3% of patients. Postoperative complications included lagophthalmos (22.6%), graft necrosis (17.7%), pyogenic granuloma (12.9%), decreased graft size (12.9%), malpositioned lids (3.2%), and volume deficiency (3.2%). The prosthesis was held in place in 49 patients (79%) preoperatively and in 55 patients (88.7%) postoperatively. Conclusion: Dermis-fat graft is an excellent option for congenital or acquired as well as primary or secondary anophthalmic sockets, with or without contraction. The outcomes are favorable, and complications are rare.en
dc.description.affiliationRio Hortega Univ Hosp, Dept Ophthalmol, Dulzaina St 2, Valladolid 47012, Spain
dc.description.affiliationKing Khalid Eye Specialist Hosp, Riyadh, Saudi Arabia
dc.description.affiliationUniv Estadual Paulista, Dept Ophthalmol, Fac Med Botucatu, Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Dept Ophthalmol, Fac Med Botucatu, Botucatu, SP, Brazil
dc.format.extent366-370
dc.identifierhttp://dx.doi.org/10.5935/0004-2749.20180073
dc.identifier.citationArquivos Brasileiros De Oftalmologia. Sao Paulo: Consel Brasil Oftalmologia, v. 81, n. 5, p. 366-370, 2018.
dc.identifier.doi10.5935/0004-2749.20180073
dc.identifier.fileWOS000443858200003.pdf
dc.identifier.issn0004-2749
dc.identifier.urihttp://hdl.handle.net/11449/164619
dc.identifier.wosWOS:000443858200003
dc.language.isoeng
dc.publisherConsel Brasil Oftalmologia
dc.relation.ispartofArquivos Brasileiros De Oftalmologia
dc.relation.ispartofsjr0,518
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectAnophthalmos/surgery
dc.subjectOrbit
dc.subjectDermis
dc.subjectAdipose tissue/transplantation
dc.subjectRetrospective study
dc.titleDermis-fat graft for anophthalmic socket reconstruction: indications and outcomesen
dc.typeArtigo
dcterms.rightsHolderConsel Brasil Oftalmologia
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
unesp.departmentOftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço - FMBpt

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