aCase 18

by Dr.Chua

This 26 year-old man was assaulted one year ago with acid resulting in left visual loss and a contracted socket. He attended the oculoplastic clinic for a prosthesis to cover the phthisical left eye. The appearance of the left eye was as shown below.

Figure 1. Left phthisical globe with symblepharon and severe

shallowing of the fornices.

The eye shows symblepharon with severe loss of the depth of the fornices. Insertion of the prosthesis was not possible.

a. How can the socket be reconstructed to support a prothesis?