Clinical Observation on Reconstruction of the Anophthalmic Contracted Socket in 28 Eyes.

Sohn, Kyung Soo; Kim, Jeung Wha; Lee, Tae Soo

Original Article

Journal of the Korean Ophthalmological Society 1986;27(4):471-474.
Published online April 1, 1986.

Clinical Observation on Reconstruction of the Anophthalmic Contracted Socket in 28 Eyes.

Kyung Soo Sohn, Jeung Wha Kim, Tae Soo Lee

¹Department of Ophthalmology, Korea Veterans Hospital, Seoul, Korea.
²Department of Ophthalmology, College of Medicine, Korea University, Seoul, Korea.

28 안의 무안구성 위축 결막낭 재형술에 대한 임상적 고찰

손경수(Kyung Soo Sohn),김정화(Jeung Wha Kim),이태수(Tae Soo Lee)

Abstract

Reconstruction of the anophthalmic contracted socket was performed in 28 eyes (34 cases) from October 1981 to February 1985. The follow-up period after surgery ranged from 6 months to 12 months. The age range of the patients was from 5 years to 60 years, and there were 25 males and 3 females. Degree of the contraction and method of the operation were as follows: 1. Mildly contracted socket. Among 12 eyes, 7 eyes were operated with acrylic conformer(AC) after buccal mucous membrane graft(BMMG) and 5 eyes with dental conformer(DC) after buccal mucous membrane graft. 2. Moderately contracted socket. Among 9 eyes, 6 eyes were operated with AC after BMMG and 3 eyes with DC after BMMG. 3. Severely contracted socket. Among 7 eyes, 5 eyes were operated with AC after BMMG and 2 eyes with DC after BMMG. The results were as follows: 1. Etiology of the contracted socket was inflammation(12 eyes: 43%), trauma(7 eyes: 25%), burn(5 eyes: 18%) and irradiation(4 eyes: 14%). 2. In reconstruction of the contracted socket, buccal mucosa was a good substitute for conjunctiva. 3. Better result was obtained in the cases with lesser contraction preoperatively, and in the cases of reconstruction after preoperative repair of lid defect. 4. The optimal interval for further surgery was at least about 6 months due to resolution of the fibroblastic activity. 5. Postoperative complications were noted in 8 cases(24%), which were recontraction in 4 cases(12%), shrinkage of the graft in 2 cases(6%), necrosis of the graft in 1 case(3%), and infection in 1 case(3%). 6. Most patients now wear artificial eyes with or without lightly tinted glasses, giving them good appearance, even though their sight was gone.