Abstract | INTRODUCTION: Children presenting with congenital anophthalmos usually develop a smaller bony orbit, a constricted mucosal socket, and a shortened eyelid fissure. This causes problems when fitting these patients with a prosthesis. Clinical evaluation of the Wiese self-inflating hydrogel expanders has demonstrated their ability to expand the socket and eyelid fissure for inserting a more realistic prosthesis in shorter periods of time. PATIENTS AND METHOD: The study included 13 consecutive anophthalmic patients, eight unilateral and five bilateral. Each patient received a hemispherical osmotic tissue expander in the rudimentary mucosal socket and later a sphere implanted in the deeper soft orbital tissue. RESULTS: The use of hydrogel expanders enlarged the lid and palpebral fissure in all children, with good cosmetic results. It allowed insertion of custom-made glass prostheses with good cosmetic appearance very early in life. Growth of the bony orbit may be stimulated successfully by these expanders in the soft orbital tissue. CONCLUSIONS: The enlargement of constricted mucosal sockets and short palpebral fissures using self-inflating hydrogel expanders is a new and successful concept in treating congenital anophthalmos.
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Authors | M P Schittkowski, K K H Gundlach, R F Guthoff |
Journal | Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
(Ophthalmologe)
Vol. 100
Issue 7
Pg. 525-34
(Jul 2003)
ISSN: 0941-293X [Print] Germany |
Vernacular Title | Therapie des kongenitalen klinischen Anophthalmus mit hoch hydrophilen Hydrogelexpandern. |
PMID | 12920552
(Publication Type: Comparative Study, English Abstract, Journal Article)
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Chemical References |
- Biocompatible Materials
- Hydrogels
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Topics |
- Anophthalmos
(rehabilitation)
- Biocompatible Materials
- Child
- Child, Preschool
- Eye, Artificial
- Follow-Up Studies
- Humans
- Hydrogels
- Infant
- Microphthalmos
(rehabilitation)
- Prosthesis Implantation
- Tissue Expansion
- Treatment Outcome
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