Journal List > J Korean Ophthalmol Soc > v.57(2) > 1010475

J Korean Ophthalmol Soc. 2016 Feb;57(2):188-194. Korean.
Published online February 16, 2016.  https://doi.org/10.3341/jkos.2016.57.2.188
©2016 The Korean Ophthalmological Society
Effects of Contracted Anophthalmic Socket Reconstruction with Oral Mucosa Graft
Kyoung Hwa Bae, MD,1 In Cheon You, MD, PhD,1,2,3 and Min Ahn, MD, PhD1,2,3
1Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea.
2Research Institute of Clinical Medicine, Chonbuk National University, Jeonju, Korea.
3Clinical Research Institute, Chonbuk National University Hospital, Jeonju, Korea.

Address reprint requests to Min Ahn, MD, PhD. Department of Ophthalmology, Chonbuk National University Hospital, #20 Geonji-ro, Deokjin-gu, Jeonju 54907, Korea. Tel: 82-63-250-1965, Fax: 82-63-250-1965, Email: ahnmin@jbnu.ac.kr
Received March 06, 2015; Revised August 29, 2015; Accepted October 29, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

This study is executed to identify and report the treatment effects of oral mucosa grafting of prosthetic eye patients who have shallow conjunctival socket caused by socket contraction.

Methods

Conjunctival sac reconstruction was performed by using the lower lip mucosa to 11 eyes of 11 patients diagnosed with contracted conjunctival sac at the ophthalmic clinic from August 2009 to May 2015, and a retrospective analysis was performed with medical record data from the patients who were followed-up after surgery.

Results

Within the follow-up period, prosthetic eye insertion was possible for all 11 eyes of the 11 patients. All of them were satisfied in an aesthetic aspect, and were able to maintain deep conjunctival sac without receving findings of graft absorption, or re-contracted or shallow conjunctival sac during the follow-up period. On the donor region, normal epithelialization occurred. Concerning the donor region for the first week after surgery, the mean score of the patients' pain was 3.18 ± 0.94 points measured by a numerical rating scale, and no infection, bleeding, contraction, or cicatrix was revealed during the follow-up period. There were hypoesthesia, pararthria, and paresthesia (tingling sense) for post-complications from the donor region, and four patients out of the 11 patients complained of discomfort resulting from post-complications; whereas the remaining seven patients did not complain of discomfort.

Conclusions

Oral mucosa can be considered as a good graft for contracted conjunctival sac reconstruction for patients who cannot wear a prosthetic eye.

Keywords: Conjunctival sac reconstruction; Contracted conjunctival sac; Lip mucosa; Prosthetic eye

Figures


Figure 1
Pre- and postoperative photo. (A) Postoperative photograph taken 11 days after the operation, conjunctival fornix reconstruction, upper. (B) Postoperative photograph taken 11 days after the operation, conjunctival fornix reconstruction, lower.
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Figure 2
Lower lip donor site. (A) Preoperative photograph. (B) Intraoperative photograph. (C) Postoperative photograph taken 4 days after the operation. (D) Postoperative photograph taken 11 days after the operation.
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Tables


Table 1
Grading of conjunctival socket contraction
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Table 2
Summary of patients
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Table 3
Summary of 11 operations, conjunctival sac reconstruction
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Table 4
Complications of donor site
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Notes

This study was presented as a narration at the 112th Annual Meeting of the Korean Ophthalmological Society 2014.

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