Abstract Listings 2024

Purpose

To study anatomic and functional success and determinants of anophthalmic orbital socket reconstruction.

Methods

This retrospective cohort study included anophthalmic sockets reconstructed between 2010 and 2021 at a hospital in Saudi Arabia. Upper and lower fornixes depth compared to fellow orbit, changes in fornix grades after surgery, patient satisfaction, complications, and number of surgeries were noted. The anatomic complete success means restoration of an anatomically deep fornix and the ability to wear a prosthesis. Partial success means focal recurrence of scar and failure means inability to wear prosthesis. The functional success was defined as complete and partial success in sockets with grade 1 to 3 fornixes. The pre-reconstruction variables were associated with the success.

Results

The cohort had 107 sockets reconstructed using a mucus graft. After a median of 3.1 years, anatomical complete success and partial success in reconstructing fornixes were noted in 44 (41%) and 46 (43%) of sockets. The functional success was in 70 (65.4%) of cases. The graft was necrotized in two (1.9%) cases. In seven (6.5%) cases, complications were managed. 38 patients were happy with the cosmetic results of management. A second reconstruction surgery was performed in 45 (42.1%) patients. Left socket (P 0.04), resident outside Riyadh (P = 0.001), absence of anchor suture (P = 0.007), and contracted socket first visit after surgery (P = 0.0030) were significantly associated with the success.

Conclusion

The anatomic and functional outcomes of fornix reconstruction of anophthalmic orbital sockets were promising. They should be monitored lifelong.

Additional Authors

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