Jornal de Oftalmologia Clínica e Experimental
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Piggyback Orbital Implant for Volume Augmentation in Management Post-Traumatic Enophthalmos and Enophthalmic Socket

Ayman E Abd El Ghafar

Purpose: To evaluate the use of silicone sphere orbital implants for volume augmentation in management of post-traumatic enophthalmos and enophthalmic socket.

Materials and methods: This was a retrospective interventional case series for evaluation of use of silicone sphere orbital implants for volume augmentation in 14 patients with post-traumatic enophthalmos and enophthalmic socket that were operated in Mansoura Ophthalmic Center from May 2016 to October 2020.

Results: The study included 14 cases with enophthalmos; 9 cases (64.3%) post-traumatic and 5 cases (35.7%) with enophthalmic socket. The median degree of enophthalmos had improved from 4.0 mm (preoperative) to1.0 mm (postoperative). 85.7% of patients were satisfied with the results however, 14.3% were not satisfied. Surgery was not complicated in 78.6% of patients however, 21.4% showed orbital hemorrhage, hypertropia and overcorrection.

Conclusion: The use of silicone sphere orbital implant for volume augmentation in cases of enophthalmos is cheap, easily available and effective.