DR. CHIONKHUMI CHRISTY MAREM

DR. SANTOSH G. HONAVAR, DR. RAKSHA RAO

Abstract

Retrospective, interventional study of 25 eyes of 25 patients over 8 years. Outcome was favourable if a well-fitting prosthesis with good cosmesis could be achieved. 25 consecutive patients, 6 anophthalmos and 19 microphthalmos, M:F 15:10, and a mean age 12 y (1m-37y) were included in the study. Baseline vertical palpebral fissure (VPF) was 3.9 (1-8) mm and horizontal palpebral fissure (HPF) 20.7 (10-28) mm. Management included socket expansion (with graduated conformers until VPF and HPF and at least 75% of normal or stable for 3m with no further expansion) in 11, followed by surgery and primary surgery in 14. Of 6 with orbitopalpebral cyst, 5 had aspiration and sclerotherapy. Overall, 13 had enucleation + implant, 3 evisceration + implant, 2 mucus membrane graft, and 3 dermis fat graft. There was an average increase of 6mm in VFH and 13 mm in HPF. At the last follow-up at a mean of 2.7y, 15 (60%) had a favourable outcome.