The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
This 70 year-old woman seeks help to improve
her right ocular appearance. Her right eye was removed 30 years-ago because
of trauma but no ocular implant was inserted. In the past few years she
noticed progressive ptosis and endophthalmos as well as difficulty in
keeping the prosthesis in good position. This is typical of post-enucleation
socket syndrome which is characterised by deep superior sulcus and inferior
displacement of the prosthesis due to volume loss and fat atrophy. It is
best treated with implant replacement and lower lid laxity by lid tightening
e.g. canthal sling. The ptosis may improve when the volume is replaced and a
better prosthesis inserted.
Endophthalmos and ptosis due to
loss of socket volume.
The prosthesis is displaced
Sunken sulcus typical of post-enucleation