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Hanna J. Garzozi, Yoav Vardizer, Oren Tomkins; Assessing the Clinical and Subjective Success of Anophthalmic Orbital Implants. Invest. Ophthalmol. Vis. Sci. 2011;52(14):1067.
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The aim of socket surgery is to minimize facial disfigurement due to volume deficit. The success of such procedures is estimated by surgeons according to the rate of complications such as implant exposure and extrusion, eyelid malposition, post-implantation infection, conjunctiva dehiscence and socket contraction. Though acceptable cosmetic result is a paramount objective of these procedures, most studies report a general impression of the patients’ appearance.
Using self report questionnaires, information was gathered from anophthalmic patients regarding general body and prosthesis-related image indices. Patients were then examined by three independent clinical examiners. Face and socket appearance was noted according to specific anatomical and cosmetic properties. Correlations between patient self assessment and physician appraisal were examined.
100 anopthalmic patients completed both the self assessment questionnaire and clinical examination. Patients related a successful cosmetic appearance only to eyelid symmetry (p=0.02), while the clinical examiners found correlations to eyelid symmetry (R2=0.65, p<0.0001), volume deficit (R2=0.76, p<0.0001) and limited prosthesis movement (R2=0.82, p<0.0001).
The results of this study may assist future development and adjustment of ocular prosthesis for a more favorable cosmetic appearance.
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