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An Individualized 3-Dimensional Designed and Printed Conformer After Dermis Fat Grafting for Complex Sockets.

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.

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  • Publisher Full Text
  • 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.

    Source

    MeSH

    Adipose Tissue
    Adult
    Child
    Equipment Design
    Eye, Artificial
    Female
    Humans
    Male
    Middle Aged
    Ophthalmologic Surgical Procedures
    Printing, Three-Dimensional
    Reconstructive Surgical Procedures
    Retrospective Studies
    Skin Transplantation

    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 -