Nasal turbinate mucosal graft for management of contracted anophthalmic socket

ABSTRACT

A 67-year-old Caucasian male presented with severe contraction of socket lining 8 years after enucleation, dermis fat graft and successful ocular prosthesis fitting. Following two failed attempts at using amniotic membrane grafts to reform the socket lining, a total socket reconstruction was attempted using a novel nasal turbinate mucosal graft technique. This was performed in a staged fashion with lower fornix reconstruction followed by upper fornix reconstruction 3 months later. The patient was stable at 12 months review, with a satisfactory cosmetic outcome. Nasal turbinate mucosa was used as it was surgically accessible, provided natural socket lubrication due to its mucosal surface, and avoided oral mucosa and its associated morbidity. This case report suggests that nasal turbinate mucosa is a suitable autologous grafting material for total socket reconstruction in contracted anophthalmic sockets.

KEYWORDS:

• Anophthalmic socket
• contracted socket lining
• graft
• nasal turbinate
• total socket reconstruction

Disclosure statement

No potential conflict of interest was reported by the authors.

Patient consent

The patient consented to publication of the case and associated identifiable photographs in writing.

Additional information

Funding

The authors reported that there is no funding associated with the work featured in this article.