Using a Dermis Fat Graft for Volumetric Rejuvenation of Deep Superior Sulcus in the Eyelid Due to an Anophthalmic Socket
1University of Health Sciences, Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Institute, Division of Oculoplastic and Reconstructive Surgery, Istanbul, Turkey
Eur Arch Med Res 2021; 37(3): 192-194 DOI: 10.4274/eamr.galenos.2021.48569
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Abstract

Enophthalmos, shallow fornices, and deep superior sulci in the eyelids may be encountered in patients with an anophthalmic socket due to gradual fibrosis of orbital tissues. Herein, a 42-year-old woman presented to our clinic due to dissatisfaction with the sunken appearance of her right upper eyelid. She had undergone evisceration surgery in the past and had been using a prosthesis in the right eye for the last 30 years. Moreover, ophthalmologic examination revealed a deep superior sulcus deformity of the right eyelid. A dermis fat graft was placed and volumetric correction of the right upper eyelid sulcus deformity was performed, which resulted in significant rejuvenation of the upper eyelid sulcus deformity on postoperative follow-up. In conclusion, dermis fat grafts can be used as a safe alternative method for volumetric correction of intraconal or extraconal volume loss that develops in patients with an anophthalmic socket.