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Primary dermis fat graft implantation in orbit after evisceration

Background: Orbital implants allow for Cosmesis and vol-ume replacement of an eviscerated eye. Der-mis fat graft is a viable alternative to allo-plastic implants as a primary orbital implant following ocular evisceration.

Aim/Objectives: To provide evidence for dermal fat graft as a safe and stable orbital volume replacement following ocular evisceration.

Methodology: A prospective, interventional, non-comparative case series of patients who had an primary au-tologous dermis graft after evisceration. All the patients fulfilling the criteria were identified. At 6 weeks post-operatively, patients received an ocular prosthesis. The volume of the dermis-fat grafted globe was measured at 1 month and 9 months post-operatively by plain magnetic resonance imag-ing of the orbit. Results: Ten patients underwent ocular evisceration and dermis fat graft implant. Nine patients complet-ed the study. Out of 10 patients 60% (6) were males and 40% (4) were females.Suture abscess was noted in 20% patients, hair growth in the dermis in 10%, sub conjunctival cysts in 10% patients. Cosmetic outcome showed very good result in 50% patients with good prosthetic motility in 60%.

Conclusion: This case series shows that the use of a dermis graft is a safe and effective new technique to facilitate orbital rehabilitation. It is hypothesised that the ex-tra surface area produced with a dermis graft pre-serves the fornices and allows a larger implant.

Author(s): Sandeep K, Sudhakar N A, KV Chidananada, K C Aishwarya, Privila E, Zeeshan Sayani, Sudhir M Naik