Congenital Anophthalmic Syndrome, a novel surgical complementary approach.
Author: yoav vardizer
Base Hospital / Institution: bnai zion medical center
Rapid fire oral presentation
Abstract ID: 24-457
Purpose
Congenital anophthalmic syndrome patients are difficult to manage and the end cosmetic result is frustrating in most patients. In past ESOPRS meetings we have already described the use of 3D printed expanders in improving the results of the non-surgical ocularist treatment. This time we would like to share our experience and evolution of the supplementary new surgical strategy.
Methods
We would like to describe 8 consecutive patients that were treated since early childhood in our prosthetic clinic using acryl expander and later operated. Operation indications were prosthesis retention problem post surgeries elsewhere in 5 patients, and failure to achieve a cosmetic satisfactory result in 3 patients.
Patients had a presurgical CT scan to enable surgical planning. Surgical procedures from the following list were customized according to each patient’s needs:
•Lateral wall trim thinning
•Dermal fat graft implant +- alloplastic 16 mm’ implant
•Lateral socket amniotic membrane or buccal mucosal implant
•Lateral elongation of the eyelids using “trouser shape” ear cartilage that enables further easy extension of the eyelid opening. (both procedures will be demonstrated during our talk)
Results
All patients experienced socket enlargement post-surgery with an improvement in the anophthalmic eyelid opening and symmetry. The surgical procedure corrected the retention problem in all patients. Two patients developed a late symblepharon in the lateral canthus after avoiding prosthesis wear due to conjunctivitis. One of them was corrected by amniotic membrane implantation.
Conclusion
To the best of our knowledge, there are no recommended guidlines for the surgical treatment of Congenital Anophthalmic Syndrome patients. Custom surgical planning and the “trouser shape” lateral canthus implantation technique seem to offer a good complementary treatment in Congenital Anophthalmic Syndrome patients. this novel approach will improve cosmesis and resolve prosthesis retention problems.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Inbal | man peles | bnai zion medical center |
