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  • Title: Meshed conjunctival incision technique: an efficient technique for contracted eye socket.
    Author: Xin W, Wei X, Yun-Ping L, Man-Yi X.
    Journal: J Plast Reconstr Aesthet Surg; 2013 May; 66(5):688-92. PubMed ID: 23419680.
    Abstract:
    OBJECTIVE: To present a surgical technique for socket reconstruction in cases in which forniceal shortening by scar has made it difficult to successfully wear an ocular prosthesis. METHODS: A retrospective analysis of 19 contracted eye sockets that underwent forniceal reconstruction with meshed conjunctival incision technique from 2009 to 2012. The technique included three steps: meshed conjunctival incision, lower forniceal reconstruction and upper fornix incision. RESULTS: There were 17 male and two female patients, with an age range between 6 and 67 years. Duration of forniceal shortening varied from 6 months to 8 years. The mean follow-up period was 13.6 months. All patients were able to wear and maintain an acceptable prosthesis following the surgical procedure. Only two patients had mild entropion which occurred at 1 month. No cases of postoperative exposure, infection, extrusion or granuloma formation were encountered. CONCLUSION: The meshed conjunctival incision technique is a simple, safe and effective method for treating a contracted socket. Most of the patients obtained aesthetically satisfactory results at follow-up from 3 months to 3 years post surgery.
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