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The treatment of the post-enucleation socket syndrome.

Authors
  • Steinkogler, F J
Type
Published Article
Journal
Journal of Cranio-Maxillofacial Surgery
Publisher
Elsevier
Publication Date
Feb 01, 1987
Volume
15
Issue
1
Pages
31–33
Identifiers
PMID: 3470313
Source
Medline
License
Unknown

Abstract

Enucleation without using an orbital implant often causes enophthalmos, deep upper eyelid sulcus, ptosis and laxity of the lower lid. These signs constitute the post-enucleation socket syndrome. In order to cope with it, mainly the volume deficit of the orbit has to be filled with a silicone implant encased in homologous sclera. A new fixation technique of the sclera-silicone implant in the oribital cavity is described: an strong connection between sclera and orbital connective tissue can be achieved my means of the fibrin sealing method. In most cases adequate volume replacement can be achieved by using this technique. In addition the mobility of the artificial eye can be improved. Possible complications are discussed and the results are demonstrated.

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