Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 4 Issue 9

Surgical Technique for Severe Microphthalmic Orbit Reconstruction: Case Report

Mario Renato Papa-Vettorazzi1*, Hugo González-Valdivia2, Ester Casas-Gimeno2 and Joan Prat-Bartolomeu2

1Department of Ophthalmology, Hospital Sant Joan de Déu, Barcelona, Spain
2Department of Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery Service, Hospital Sant Joan de Déu, Barcelona, Spain

*Corresponding Author: Mario Renato Papa-Vettorazzi, Department of Ophthalmology, Hospital Sant Joan de Déu, Barcelona, Spain.

Received: July 23, 2021; Published: August 18, 2021

Abstract

Purpose: To report a case of severe bilateral microphthalmos treated with a unilateral orbital reconstruction procedure.

Case Report: This is the case report of a 4-year old patient with bilateral microphthalmos who showed upper face underdevelopment with left palpebral and orbital structures more affected. She underwent a unilateral left orbital reconstruction procedure to achieve proper volume for an 18mm bio ceramic implant and achieved optimal postoperative cosmetic results.

Conclusion: This case shows that orbital osteotomies are indicated to provide upper face symmetry and allow the fitting of an orbital implant big enough to stimulate orbital development not needing to be replaced over time and providing optimal postoperative cosmetic results.

Keywords: Microphthalmia; Microphthalmic Orbit; Orbit Reconstruction; Orbital Osteotomy

References

  1. Verma Amit S and David R Fitzpatrick. “Anophthalmia and Microphthalmia”. Orphanet Journal of Rare Diseases 2 (2007): 47.
  2. Llorente-González Sara., et al. “Congenital Anophthalmia and Microphthalmia: Epidemiology and Orbitofacial Rehabilitation”. Clinical Ophthalmology1 (2011): 1759-1765.
  3. Galindo-Ferreiro Alicia., et al. “Characteristics and Management of Congenital Anophthalmos and Microphthalmos at a Tertiary Eye Hospital”. Orbit3 (2019): 192-198.
  4. Ragge NK., et al. “A Practical Guide to the Management of Anophthalmia and Microphthalmia”. Eye 10 (2007): 1290-1300.
  5. Groot Annabel LW., et al. “Classification for Treatment Urgency for the Microphthalmia/Anophthalmia Spectrum Using Clinical and Biometrical Characteristics”. Acta Ophthalmologica5 (2020): 514-520.
  6. Liu Zhaochuan., et al. “Reconstruction Strategy in Isolated Complete Cryptophthalmos: A Case Series”. BMC Ophthalmology 19 (2019): 165.
  7. Clauser Luigi., et al. “Integrated Reconstructive Strategies for Treating the Anophthalmic Orbit”. Journal of Cranio-Maxillofacial Surgery5 (2004): 279-290.
  8. Wavreille O., et al. “Surgical and Prosthetic Treatment for Microphthalmia Syndromes”. British Journal of Oral and Maxillofacial Surgery2 (2013): e17-e21.
  9. El Essawy., et al. “Successful Conjunctival Socket Expansion in Anophthalmic Patients until the Age of 2 Years: An Outpatient Procedure”. Clinical Ophthalmology 10 (2016): 1743-1748.
  10. Quaranta-Leoni Francesco M. “Congenital Anophthalmia: Current Concepts in Management”. Current Opinion in Ophthalmology 22.5 (2011): 380-384.

Citation

Citation: Mario Renato Papa-Vettorazzi., et al. “Surgical Technique for Severe Microphthalmic Orbit Reconstruction: Case Report". Acta Scientific Ophthalmology 4.9 (2021): 42-44.

Copyright

Copyright: © 2021 Mario Renato Papa-Vettorazzi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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