Dermal-fat graft for anophthalmic socket in children enucleated for retinoblastoma

Arch Soc Esp Oftalmol (Engl Ed). 2018 Jan;93(1):3-6. doi: 10.1016/j.oftal.2017.06.012. Epub 2017 Aug 2.
[Article in English, Spanish]

Abstract

Retinoblastoma is the most frequent intraocular tumour in childhood. The definitive treatment is enucleation. The management of the anophthalmic socket consists in the use of a plastic implant. The problem is that they are expensive and they usually extrude. The use of dermal-fat grafts minimises the hemi-facial hypoplasia. They usually grow with the face, and help to expand the orbital bones, thus avoiding the psychological and physical consequences.

Objective: To determine if there is hemi-facial hypoplasia, using MRI images after the use of a dermal-fat implant in patients enucleated for RB.

Method: The study included patients enucleated for RB in which a dermal-fat implant was used and MRI images were taken in the period between June 2010 and December 2012. Facial growth and cosmesis was measured.

Results: The study included 12 patients, aged between 6 to 41 months. After 24 months of follow up, none of them developed hemifacial hypoplasia. All had a good cosmesis with the prosthesis. There were no complications after the surgery.

Conclusions: The use of dermal-fat implant is a good option for the anophthalmic socket in patients with RB after enucleation.

Keywords: Anophthalmic socket; Cavidad anoftálmica; Dermal-fat implant; Hemifacial hypoplasia; Hipoplasia hemifacial; Injerto dermograso; Retinoblastoma.

MeSH terms

  • Adipose Tissue / transplantation*
  • Child, Preschool
  • Eye Enucleation*
  • Female
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Orbit / diagnostic imaging
  • Retinal Neoplasms / surgery*
  • Retinoblastoma / surgery*
  • Skin Transplantation*