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Socket surgery and prosthetics
Oculoplasty
Key Points
- •Evisceration is contraindicated if intraocular malignancy is suspected - always perform enucleation when tumour cannot be excluded
- •Adequate orbital volume replacement (18–22 mm implant) is critical to prevent post-enucleation socket syndrome
- •Porous polyethylene (Medpor) is the most commonly used orbital implant currently - allows fibrovascular ingrowth and does not require wrapping
- •Post-enucleation socket syndrome has 5 components: enophthalmos, superior sulcus deepening, upper lid ptosis, lower lid laxity, and backward tilt of prosthesis
- •Custom prosthesis fitted by an ocularist at 6–8 weeks post-surgery provides the best cosmetic outcome
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17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations