Socket Reconstruction

  • Jean-Paul J. Abboud
  • Aaron Mason
  • Jennifer A. Sivak-Callcott


The goal of socket reconstruction is to provide a comfortable ocular prosthesis with good movement that looks natural and resembles the contralateral side. Evaluation and surgery of the anophthalmic socket is divided into five categories: socket volume, socket lining, eyelid position, periocular contours, and implant exposure. Recognizing and addressing deficiencies in each of these areas are necessary to create a healthy socket.


Anophthalmia Socket Anophthalmic socket Fornix Fornices Implant Exposure Dermis fat Mucosa Graft 

Supplementary material

419986_5_En_52_MOESM1_ESM.mp4 (141.5 mb)
Video 52.1 Orbital implant exchange. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 144872 kb)
419986_5_En_52_MOESM2_ESM.mp4 (96.7 mb)
Video 52.2 Enophthalmos wedge implant. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 99001 kb)
419986_5_En_52_MOESM3_ESM.mp4 (168.3 mb)
Video 52.3 Mucous membrane graft for lower fornix reconstruction. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 172359 kb)
Video 52.4 Mucous membrane graft with fornix sutures for shallow fornix in an anophthalmic socket. Courtesy of Richard C. Allen, MD, PhD, FACS. (MPEG 240970 kb)
419986_5_En_52_MOESM5_ESM.mp4 (120.4 mb)
Video 52.5 Harvesting of dermis-fat graft. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 123260 kb)
419986_5_En_52_MOESM6_ESM.mp4 (175.4 mb)
Video 52.6 Dermis-fat graft in anophthalmos. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 179568 kb)
419986_5_En_52_MOESM7_ESM.mp4 (147.2 mb)
Video 52.7 Dermis-fat graft in anophthalmos. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 150760 kb)
419986_5_En_52_MOESM8_ESM.mp4 (123 mb)
Video 52.8 Scleral patch graft for exposed orbital implant. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 125918 kb)
419986_5_En_52_MOESM9_ESM.mp4 (128.1 mb)
Video 52.9 Scleral patch graft for exposed orbital implant. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 131148 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jean-Paul J. Abboud
    • 1
  • Aaron Mason
    • 2
  • Jennifer A. Sivak-Callcott
    • 3
  1. 1.Ophthalmic Plastic and Reconstructive SurgeryWest Virginia University Eye InstituteMorgantownUSA
  2. 2.WVU Healthcare-Cosmetic SurgeryMorgantownUSA
  3. 3.Mon Health Oculofacial SurgeryMon Health SystemMorgantownUSA

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