[Case of congenital serous cyst of orbit with anophthalmia].
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Micro-orbitism which follows the very early arrested development of the optic vesicles hinders the fitting of a prosthesis. A total enlargement of the orbit is proposed which restores the normal dimensions and enables facial symmetry to be re-established. The risks and advantages of this procedure are discussed.
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We report using a fibrin-glue tissue adhesive in place of sutures to place a full-thickness mucosal graft into a defect created in a scarred fornix of an ophthalmic socket. This technique minimizes tissue trauma and aids hemostasis and healing.
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Facial asymmetry and cosmetic deformity can occur following enucleation. The effect of enucleation on the growth of the orbit can be demonstrated in the rabbit and cat by early enucleation, X-ray study and dry skull measurements. In 42 human patients the anophthalmic orbital changes are determined by roentgenograms. The influencing factors of age and the use of implants are discussed as to changes in the rim, orbital walls and volume, and optic foramina measurements. Growth retardation due to roentgen ray therapy and other clinical aspects are considered which would influence the appropriate clinical management.
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