The purpose of this work was to determine the main trends in surgical rehabilitation of patients with
anophthalmia and define the principles of treating patients with poor
ocular prostheses. A total of 3345 interventions on the orbital cavity and eye appendages were carried out at plastic surgery and
ocular prosthesis department in 1991-2000. Of these, 1535 patients (45.8%) were with
anophthalmia. Analysis of disease structure in
anophthalmia helped determine the priority trends of surgical rehabilitation of this group of patients: enucleation with plasty of the supporting motor stump, 36.6%; postradiation
atrophy of orbital tissues after enucleation for
retinoblastoma, 22.6%; anophthalmic syndrome, 11.7%; cicatricial deformation of the cavity, 11.5%;
anophthalmia with concomitant eyelid deformation, 6.1%;
anophthalmia with orbital deformation, 3.1%; denudation of
orbital implants, 2.6%; congenital
anophthalmia, 2.5%;
prolapse of the inferior vault and upper
eyelid ptosis, 1.8 and 1.4%, respectively. Individual methods of treatment and main rehabilitation principles were developed for each group of patients.