Alkhairy Saba, Baig Mahad M, Pasha Usman A
Ophthalmology, Dow University of Health Sciences, Dow International Medical College, Karachi, PAK.
Cureus. 2021 Oct 17;13(10):e18834. doi: 10.7759/cureus.18834. eCollection 2021 Oct.
A 15-year-old girl presented with the complaint of a cosmetically disfigured right eye since birth. The initial assessment was carried out by way of a history and physical examination. The patient's history revealed no significant findings. Physical examination revealed that the right ophthalmic socket was seemingly devoid of an identifiable globe and ocular tissue, which is described as an anophthalmic socket. The conjunctival fornices appeared short, a finding which was more noticeable in the inferior conjunctival fornix. The patient's orbital volume was decreased. To increase the orbital volume, a dermis fat graft (DFG) was carefully taken from the gluteal region. The graft was then transposed to the anophthalmic socket and sutured to the conjunctiva and Tenon's capsule. A prosthetic eye was placed in the socket. Later, a second surgical intervention was performed to deepen the inferior fornix, for which a mucous membrane graft was taken from the lower lip. As a result of these interventions, all cosmetic and medical concerns of the patient regarding the anophthalmic socket were addressed. The success of this procedure speaks to the efficacy of DFGs in the repair of an anophthalmic socket.
一名15岁女孩因自出生以来右眼外观畸形前来就诊。通过病史采集和体格检查进行了初步评估。患者病史无显著异常发现。体格检查发现右侧眼眶似乎没有可识别的眼球和眼组织，这种情况被描述为无眼球眼眶。结膜穹窿看起来较短，在下结膜穹窿处这一发现更为明显。患者眼眶容积减小。为增加眼眶容积，从臀区小心获取真皮脂肪移植片（DFG）。然后将移植片转移至无眼球眼眶并缝合至结膜和眼球筋膜囊。在眼眶内植入了义眼。后来，进行了第二次手术干预以加深下穹窿，为此从下唇取了黏膜移植片。这些干预措施解决了患者关于无眼球眼眶的所有美容和医学问题。该手术的成功证明了真皮脂肪移植片在修复无眼球眼眶方面的有效性。
