Treatment of Intractable Orbital Implant Exposure with Scleral Melting By Secondary Implant of Dermis Fat Graft-A Case ReportCherng-Ru Hsu1, Chih-Kang Hsu1,2, Ming-Cheng Tai1 and Shang-Yi Chiang1*
- *Corresponding Author:
- Shang-Yi Chiang
Department of Ophthalmology, Tri-Service General Hospital
No.325, Sec. 2, Chenggong Rd, Neihu Dist, Taipei City 114, Taiwan
E-mail: [email protected]
Received date: January 30, 2017; Accepted date: February 24, 2017; Published date: February 28, 2017
Citation: Hsu CR, Hsu CK, Tai MC, Chiang SY (2017) Treatment of Intractable Orbital Implant Exposure with Scleral Melting By Secondary Implant of Dermis Fat Graft-A Case Report. J Clin Exp Ophthalmol 8:638. doi: 10.4172/2155-9570.1000638
Copyright: © 2017 Hsu CR, 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.
A 30 year old female with absolute glaucoma status post-evisceration developed recurrent orbital implant exposure and scleral melting. We successfully treated the large conjunctiva defect by utilizing secondary implant of dermis fat graft for tissue growth and tension-free conjunctiva closure. The patient was satisfied with the postoperative outcome, and no major complications were observed in the following six months. Age and underlying disease may both be associated with dermis fat graft properties. Our case demonstrates that secondary dermis fat implantation is an effective method for treatment of exposed orbital implants and empty sockets after extrusion of an orbital implant.