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J Plast Reconstr Aesthet Surg. 2013 May;66(5):688-92. doi: 10.1016/j.bjps.2013.01.009. Epub 2013 Feb 16.

Meshed conjunctival incision technique: an efficient technique for contracted eye socket.

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  • 1Department of Ophthalmology, The Second Xiangya Hospital of Central South University, Midle Renming Road, No. 139, Changsha 410007, Hunan Province, China.

Abstract

OBJECTIVE:

To present a surgical technique for socket reconstruction in cases in which forniceal shortening by scar has made it difficult to successfully wear an ocular prosthesis.

METHODS:

A retrospective analysis of 19 contracted eye sockets that underwent forniceal reconstruction with meshed conjunctival incision technique from 2009 to 2012. The technique included three steps: meshed conjunctival incision, lower forniceal reconstruction and upper fornix incision.

RESULTS:

There were 17 male and two female patients, with an age range between 6 and 67 years. Duration of forniceal shortening varied from 6 months to 8 years. The mean follow-up period was 13.6 months. All patients were able to wear and maintain an acceptable prosthesis following the surgical procedure. Only two patients had mild entropion which occurred at 1 month. No cases of postoperative exposure, infection, extrusion or granuloma formation were encountered.

CONCLUSION:

The meshed conjunctival incision technique is a simple, safe and effective method for treating a contracted socket. Most of the patients obtained aesthetically satisfactory results at follow-up from 3 months to 3 years post surgery.

Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

PMID:
23419680
[PubMed - indexed for MEDLINE]
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