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Successful conjunctival socket expansion in anophthalmic patients until the age of 2 years: an outpatient procedure

Authors El Essawy RA, Abdelbaky SH

Received 29 March 2016

Accepted for publication 9 June 2016

Published 12 September 2016 Volume 2016:10 Pages 1743—1748

DOI https://doi.org/10.2147/OPTH.S109486

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Lucy Goodman

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Rania Assem El Essawy, Sameh Hassan Abdelbaky

Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt

Purpose: To report the results of a simple outpatient method for soft tissue socket expansion in young children with congenital anophthalmos.
Methods: Seventeen congenital anophthalmic sockets of 15 infants of a mean age of 4.2±4.4 months were fitted with specially designed serial solid acrylic shapes or hydrogel expanders using cyanoacrylate for eyelids closure when using the latter.
Results: At the age of 2 years, the mean horizontal eyelid length increased from a mean of 11.6±4.5 to 19.4±4.6 mm and the volume of the last expander from a mean of 0.6±0.2 to 2.0±0.3 cm3. The specially designed acrylic shapes could be a substitute to the custom-made molds, which require general anesthesia.
Conclusion: Successful increase in the horizontal eyelid length as well as the conjunctival socket volume could be achieved by a simple outpatient procedure without the need for repeated hospitalization and general anesthesia in these infants.

Keywords: congenital anophthalmia, custom-made conformers, hydrogel expanders, cyanoacrylate glue

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