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Congenital anophthalmia: a review of dealing with volume.

Abstract

BACKGROUND

Anophthalmia in childhood whether congenital or acquired is not just a question of cosmesis. Loss of an eye can effect the maturation of the soft tissues and bony structure surrounding the affected orbit. Therefore, a comprehensive approach including medical and surgical interventions is required to rehabilitate a child early in life.

MATERIALS AND METHODS

A literature survey of the past 40 years on the topic of congenital anophthalmia with focus on medical and surgical volume augmentation of the orbit was conducted.

RESULTS

Newer technologies including hydrogel implants and saline-filled tissue expanders have allowed for more rapid expansion of the pediatric orbit often with minimally invasive surgical procedures. However, traditional approaches including conformer therapy are still the primary intervention in these complicated cases.

CONCLUSION

Anophthalmia in childhood requires a close interaction between ophthalmologist and ocularist as well as a motivated patient and family. With early intervention a good cosmetic outcome with periocular symmetry is obtainable.

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  • Authors+Show Affiliations

    Section of Ophthalmic Plastics and Orbital Surgery, Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, CT, USA.

    Source

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    20616923

    Citation

    Bernardino, C Robert. "Congenital Anophthalmia: a Review of Dealing With Volume." Middle East African Journal of Ophthalmology, vol. 17, no. 2, 2010, pp. 156-60.
    Bernardino CR. Congenital anophthalmia: a review of dealing with volume. Middle East Afr J Ophthalmol. 2010;17(2):156-60.
    Bernardino, C. R. (2010). Congenital anophthalmia: a review of dealing with volume. Middle East African Journal of Ophthalmology, 17(2), pp. 156-60. doi:10.4103/0974-9233.63082.
    Bernardino CR. Congenital Anophthalmia: a Review of Dealing With Volume. Middle East Afr J Ophthalmol. 2010;17(2):156-60. PubMed PMID: 20616923.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Congenital anophthalmia: a review of dealing with volume. A1 - Bernardino,C Robert, PY - 2010/7/10/entrez PY - 2010/7/10/pubmed PY - 2010/7/10/medline KW - Anophthalmia KW - Congenital KW - Expander KW - Hydrogel KW - Microphthalmos KW - Orbit SP - 156 EP - 60 JF - Middle East African journal of ophthalmology JO - Middle East Afr J Ophthalmol VL - 17 IS - 2 N2 - BACKGROUND: Anophthalmia in childhood whether congenital or acquired is not just a question of cosmesis. Loss of an eye can effect the maturation of the soft tissues and bony structure surrounding the affected orbit. Therefore, a comprehensive approach including medical and surgical interventions is required to rehabilitate a child early in life. MATERIALS AND METHODS: A literature survey of the past 40 years on the topic of congenital anophthalmia with focus on medical and surgical volume augmentation of the orbit was conducted. RESULTS: Newer technologies including hydrogel implants and saline-filled tissue expanders have allowed for more rapid expansion of the pediatric orbit often with minimally invasive surgical procedures. However, traditional approaches including conformer therapy are still the primary intervention in these complicated cases. CONCLUSION: Anophthalmia in childhood requires a close interaction between ophthalmologist and ocularist as well as a motivated patient and family. With early intervention a good cosmetic outcome with periocular symmetry is obtainable. SN - 0975-1599 UR - https://www.unboundmedicine.com/medline/citation/20616923/Congenital_anophthalmia:_a_review_of_dealing_with_volume L2 - http://www.meajo.org/article.asp?issn=0974-9233;year=2010;volume=17;issue=2;spage=156;epage=160;aulast=Bernardino DB - PRIME DP - Unbound Medicine ER -