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Eye socket reconstruction restores the anatomy and appearance of the orbit following trauma, tumor removal, or congenital deformity. Procedures include orbital floor repair, prosthetic eye fitting, dermis-fat grafting, and orbital implant placement.
Eye socket reconstruction restores the anatomy and appearance of the orbit following trauma, ... tumor removal, or congenital deformity. Procedures include orbital floor repair, prosthetic eye fitting, dermis-fat grafting, and orbital implant placement. Read More
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Pristyn Care Diyos Hospital, Safdarjung Enclave, Delhi
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Pristyn Care Zoi Hospital, ShivBagh, Ameerpet, Hyd
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Pristyn Care Diyos Hospital, Safdarjung Enclave, Delhi
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13 Years Experience
Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003
Eye socket reconstruction, or orbital reconstruction, encompasses surgical procedures that restore the shape, volume, and function of the orbit and surrounding structures. Reconstruction is required after orbital trauma (blowout fractures), tumor excision (enucleation or exenteration), infection, or congenital defects. The goals include restoring orbital anatomy, supporting the globe or prosthetic eye, maintaining eyelid function, and achieving optimal cosmetic appearance. Procedures range from titanium mesh orbital floor repair to complex soft tissue and bone reconstruction using autologous grafts or alloplastic implants.
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Common causes requiring eye socket reconstruction include:
Orbital reconstruction procedures include:
Eye socket reconstruction is categorized by the indication:
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Patients at highest risk of requiring complex eye socket reconstruction include those with:
Patients who have lost an eye due to trauma, disease, or surgery, or who have significant orbital deformity affecting appearance and eyelid function, are candidates for reconstruction. Children with anophthalmos require early socket expansion to promote orbital growth. Adults with post-enucleation socket syndrome (a sunken, asymmetric appearance) benefit from orbital implants or dermis-fat grafts.
Pre-operative assessment for eye socket reconstruction includes:
Treatment is staged based on the underlying cause and extent of defect. Orbital fracture repair is performed within 2 weeks of injury for large or symptomatic fractures. Post-enucleation volume loss is corrected with an orbital implant at the time of enucleation or secondarily. Contracted sockets require staged surgery including socket expansion, mucous membrane or dermis-fat grafting, and prosthetic fitting. Malignant orbital defects require multidisciplinary planning.
Orbital reconstruction surgery follows these general steps:
Recovery after eye socket reconstruction requires:
Possible complications of eye socket reconstruction include:
Surgical time varies from 1 to 4 hours depending on the procedure. Orbital fracture repair may take 1 to 2 hours. Complex exenteration reconstruction with flap surgery may take 4 to 6 hours. Recovery after most socket procedures requires 2 to 6 weeks before prosthetic fitting.
A well-fitted custom prosthesis is comfortable for most patients and can be worn throughout the day. Regular polishing and maintenance keep the prosthesis smooth and reduce socket irritation. Most patients adapt to wearing and removing the prosthesis within a few weeks.
Yes. Early socket reconstruction and expansion in children with anophthalmos or microphthalmos is essential to stimulate orbital bone growth. Progressively larger conformers and eventually a prosthesis are used to ensure symmetrical orbital development.
Orbital implants made from hydroxyapatite, Medpor, or silicone are designed to be permanent. They can last a lifetime without replacement in most cases. Complications such as exposure or infection may require revision surgery, but the majority of patients do not need implant removal.
KI
Kiran
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I didn’t want dramatic changes—just a gentle refresh. My blepharoplasty at La Midas delivered exactly that.
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DE
Deepak
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Recommends
I had blepharoplasty with Dr. Pankhuri Garg. She explained everything clearly and the results have been amazing. No more droopy eyelids!
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TA
Tanvi
Recommends
Recommends
Had blepharoplasty done last month. The puffiness under my eyes is gone and I look well-rested for the first time in years!
MV
Meena Verma
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Recommends
I had saggy upper eyelids that made me look tired and older. Got them corrected at Diyos, and I can’t stop looking in the mirror now
SS
Sonam Singh
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Recommends
Didn’t think fixing my eyelids would make such a difference. Blepharoplasty at Diyos was quick and painless, and the improvement is amazing!
NS
Neha Sharma
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Recommends
Blepharoplasty at Diyos was such a good decision. My eyes look refreshed and I no longer look tired all the time. Love the result!
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