April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Assessing the Clinical and Subjective Success of Anophthalmic Orbital Implants
Author Affiliations & Notes
  • Hanna J. Garzozi
    Ophthalmology, Bnai Zion Med Center, Haifa, Israel
  • Yoav Vardizer
    Ophthalmology, Bnai Zion Med Center, Haifa, Israel
  • Oren Tomkins
    Ophthalmology, Bnai Zion Med Center, Haifa, Israel
  • Footnotes
    Commercial Relationships  Hanna J. Garzozi, None; Yoav Vardizer, None; Oren Tomkins, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 1067. doi:
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    • Get Citation

      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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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : 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.

Methods: : 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.

Results: : 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).

Conclusions: : The results of this study may assist future development and adjustment of ocular prosthesis for a more favorable cosmetic appearance.

Keywords: quality of life • orbit 
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