Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Anophthalmic Socket Reconstruction using Dermis-Fat Graft: Is It a Perfect Solution?
Author: Mariana Leuzinger-Dias
ePoster Number: 283,00
Purpose
To discuss the role of autologous dermis-fat graft in the reconstruction of the anophthalmic socket, highlighting the existence of potential post-operative complications.
Methods
Description of a case report.
Results
We describe the case of a 58-year-old Caucasian woman, who was submitted to a reintervention procedure of anophthalmic socket reconstruction using an autologous dermis-fat graft. The patient had a past ophthalmic history of right enucleation during infancy, due to phthisis bulbi secondary to measles infection. In 2009, she presented to the oculoplastic department of our Portuguese tertiary hospital with an evident anophthalmic socket syndrome, with severe contraction of orbital tissues, deep superior palpebral sulcus, and shallow conjunctival fornix. She was then submitted to socket reconstruction using a dermis-fat graft, with good aesthetic and functional results. However, in 2018 the patient presented once again with severe graft atrophy, hampering good prosthesis fit and cosmesis acceptance. Therefore, a second dermis-fat graft harvested from her left arm was performed in an effort of volume augmentation. After 3 years of good outcomes, signs of graft shrinkage and orbital volume loss re-appeared. The patient was proposed a new surgical procedure, but without the certainty of a successful result, she refused the surgery.
Conclusion
Enucleation in the pediatric population, often results in delayed orbital growth. Autologous dermis-fat grafting has been considered as an acceptable treatment option for anophthalmic socket reconstruction in these instances, either a primary or secondary procedure. The dermis-fat graft has the advantage to augment both volume and surface area. However, postoperative complications of this procedure are not neglectable. Its most common disadvantage is an unpredictable rate of subsequent graft atrophy, more frequently in adults, requiring the undesirable return to the operating room as was indeed our case.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Mário | Lima-Fontes | Centro Hospitalar e Universitário de São João |
| Sónia | Torres-Costa | Centro Hospitalar e Universitário de São João |
| Cláudia | Oliveira-Ferreira | Centro Hospitalar e Universitário de São João |
| Fernando | Falcão-Reis | Centro Hospitalar e Universitário de São João; Faculdade de Medicina da Universidade de Porto |
| Ricardo | Dias | Centro Hospitalar e Universitário de São João |
Abstract ID: 21-190
