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  • Title: Reconstruction of the anophthalmic socket: lower eyelid malposition and canthal tendon laxity.
    Author: Weiss RA, McCord CD, Ellsworth RM.
    Journal: Adv Ophthalmic Plast Reconstr Surg; 1990; 8():192-208. PubMed ID: 2248711.
    Abstract:
    There are a number of etiologies underlying the development of socket deformity with associated lower eyelid malposition, lateral canthal tendon laxity, and/or contraction of the inferior fornix. In addition to cosmetic considerations, each of these anatomic problems can interfere with comfortable wear and retention of a prosthesis. This chapter gives an overview of these problems and details our preferred surgical approaches to repair of these anatomic deformities. Specifically discussed are techniques for: mucous membrane and ear cartilage grafting to repair lower lid inner lamellar tissue shortage, reconstruction of the inferior fornix/cul-de-sac, direct lower eyelid lateral canthal resuspension, and resuspension using a periosteal flap or autogenous fascia lata from the iliotibial tract.
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