Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Unwanted Events after Orbital Volumization with Autologus Microfat in Patients with Enophthalmos
Author: Farzad Pakdel
ePoster Number: 113
Purpose
Recent advancement in autologous microfat grafting with injection method opened a new scope for orbital volumization. Autologus microfat grafting technique has potential advantages including, being fast, can be performed as an outpatient procedure, it is cheap, titratable, and repeatable. The aim of this study is to determine intervention associated unwanted events after orbital micro fat injection in visually lost eye patients with enophthalmos. Efficacy of this procedure will be reported. In addition, we will show videos including orbital injection method and correcting ensued adverse events.
Methods
Data of patients with non-seeing eye enophthalmos from March 2011 to September 2018, that underwent orbital volumization with autologous microfat injection were collected. Fat harvest, processing and injection for all this cohort of patients was based on Coleman’s method. Data including etiology of enophthalmos, past interventions to correct enophthalmos, Hertel exophthalmometry value with prosthesis in place, deep superior sulcus, extra-ocular motility, patient’s satisfaction with visual analogue score (VAS)(0-100) were recorded. Any intervention related adverse event was recorded.
Results
Data of 24 eligible patients were analyzed. Mean age was 31.45 (SD= 8.72, range=18-46) years. Fifteen patients (62,5%) were male. Mean change of enophthalmos was 2.42 (SD= 1.07, range 1.0-4.0) mm. Mean satisfaction by VAS was 86.66 (SD=15.79, range 50-100). Three patients showed lower eyelid puffiness (Figure 1,2). Two underwent surgical resection of the interesting nodular masses that caused the bumps. One patient showed worsening of pre-existing lower eyelid cicatricial retraction. No major adverse event was observed.
Conclusion
This study supports the efficacy of orbital volumization by autologous microfat injection. However, lower eyelid bump may occur, or the pre-existing lower puffiness may be worsened after injection, especially in patients with tough orbital tissue secondary to past trauma and decreased orbital tissue resilience.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Nilofar | Pirmarzdashti |
Abstract ID: 20-110