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An Individualized 3-Dimensional Designed and Printed Conformer After Dermis Fat Grafting for Complex Sockets.
Ophthalmic Plast Reconstr Surg 2018 Jul/Aug; 34(4):390-392OP

Abstract

PURPOSE

To introduce a novel technique to design individually customized conformers for postenucleation sockets with dermis fat implants.

METHODS

We use a 3-dimensional scan of the frontal face/orbit and eyelid contour to design an individualized conformer. This polymethylmetacrylate printed conformer is adapted to patients' socket, palpebral fissures, horizontal eyelid aperture, curvature of the eyelids, and mean diameter of patients' contralateral eye. Sutures through holes in the inferior part of the conformer and in the extension can be placed to fixate the conformer and anchor fornix deepening sutures.

RESULTS

A correct fitting conformer can be printed and attached to the socket and eyelids. The shape of this conformer can be used subsequently postsurgically to design the ocular prosthesis.

CONCLUSION

Presurgical planning is important to anticipate for a functional socket to adequately fit an artificial eye. The presented technique using 3-dimensional imaging, designing, and printing promises to prevent conformer extrusion and forniceal shortening.

Authors+Show Affiliations

Department of Ophthalmology, VU University Medical Center, Amsterdam.Department of Ophthalmology, VU University Medical Center, Amsterdam. Jelmer Remmers Ocularist, The Netherlands.Department of Ophthalmology, VU University Medical Center, Amsterdam.Department of Ophthalmology, VU University Medical Center, Amsterdam.Department of Ophthalmology, VU University Medical Center, Amsterdam.

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29634606

Citation

Mourits, Daphne L., et al. "An Individualized 3-Dimensional Designed and Printed Conformer After Dermis Fat Grafting for Complex Sockets." Ophthalmic Plastic and Reconstructive Surgery, vol. 34, no. 4, 2018, pp. 390-392.
Mourits DL, Remmers JS, Tan SH, et al. An Individualized 3-Dimensional Designed and Printed Conformer After Dermis Fat Grafting for Complex Sockets. Ophthalmic Plast Reconstr Surg. 2018;34(4):390-392.
Mourits, D. L., Remmers, J. S., Tan, S. H., Moll, A. C., & Hartong, D. T. (2018). An Individualized 3-Dimensional Designed and Printed Conformer After Dermis Fat Grafting for Complex Sockets. Ophthalmic Plastic and Reconstructive Surgery, 34(4), pp. 390-392. doi:10.1097/IOP.0000000000001113.
Mourits DL, et al. An Individualized 3-Dimensional Designed and Printed Conformer After Dermis Fat Grafting for Complex Sockets. Ophthalmic Plast Reconstr Surg. 2018;34(4):390-392. PubMed PMID: 29634606.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An Individualized 3-Dimensional Designed and Printed Conformer After Dermis Fat Grafting for Complex Sockets. AU - Mourits,Daphne L, AU - Remmers,Jelmer S, AU - Tan,Stevie H, AU - Moll,Annette C, AU - Hartong,Dyonne T, PY - 2018/4/11/pubmed PY - 2018/8/8/medline PY - 2018/4/11/entrez SP - 390 EP - 392 JF - Ophthalmic plastic and reconstructive surgery JO - Ophthalmic Plast Reconstr Surg VL - 34 IS - 4 N2 - PURPOSE: To introduce a novel technique to design individually customized conformers for postenucleation sockets with dermis fat implants. METHODS: We use a 3-dimensional scan of the frontal face/orbit and eyelid contour to design an individualized conformer. This polymethylmetacrylate printed conformer is adapted to patients' socket, palpebral fissures, horizontal eyelid aperture, curvature of the eyelids, and mean diameter of patients' contralateral eye. Sutures through holes in the inferior part of the conformer and in the extension can be placed to fixate the conformer and anchor fornix deepening sutures. RESULTS: A correct fitting conformer can be printed and attached to the socket and eyelids. The shape of this conformer can be used subsequently postsurgically to design the ocular prosthesis. CONCLUSION: Presurgical planning is important to anticipate for a functional socket to adequately fit an artificial eye. The presented technique using 3-dimensional imaging, designing, and printing promises to prevent conformer extrusion and forniceal shortening. SN - 1537-2677 UR - https://www.unboundmedicine.com/medline/citation/29634606/An_Individualized_3-Dimensional_Designed_and_Printed_Conformer_After_Dermis_Fat_Grafting_for_Complex_Sockets L2 - http://Insights.ovid.com/pubmed?pmid=29634606 DB - PRIME DP - Unbound Medicine ER -