Why choose HIFU treatment

High Intensity Focused Ultrasound is a non-surgical procedure which uses ultra sound rays to make the skin more firm. This procedure is non-invasive and hence it is highly recommended as the best cosmetic procedure. It treats many areas but this article is about Why choose HIFU treatment for the neck.learn more

Anophthalmic Socket Surgical Risks

Side Effects / Complications of Enucleation or Evisceration surgery

  • When an eye is removed, {the} patient loses all vision and {the} cosmetic use of {the} globe. Described complications include hemorrhage, infection and extrusion of {the} implant.
  • Most patients with post-operative hemorrhage are either on blood thinners (e.g coumadin, plavix, heparin or aspirin) or are known to have a bleeding disorder. Such hemorrhages can be painful, but intervention is rarely helpful. Patients are typically treated with analgesic medications (pain-killers).
  • Orbital Infections are very rare, but are more common with integrated orbital implants. Most secondary orbital infections can be managed with antibiotics, covering or surgical removal of {the} orbital implant.
  • Implant extrusions can be managed by surgical replacement of {the} orbital implant

    Normal Volumes of {the} Orbit

    • Adult orbital volume ranges from 24 to 30 ml
    • Female orbital volume is approximately 2 mm less than male adults
    • Each orbit contains approximately 10 ml of fat; extraocular muscles account for 5 ml of volume and {the} normal eyeball accounts for approximately 7 ml.

    Following enucleation there is a decrease in volume as well as changes in structure which give rise to what has been termed “post-enucleation socket syndrome.”

    • This involves enophthalmos, a deep upper eyelid sulcus, lower eyelid laxity with shallow fornix with possibly Ptosis or lid retraction.
    • When an eye is removed, recall there is a 7 ml volume loss; however, {the} most commonly used 18 ml sphere replaces a volume of approximately 3 mm while a 16 mm sphere replaces a volume of 2 ml. A 20 mm sphere provides 4.1 ml of volume.
    • The situation is made worse by orbital fat atrophy of up to 3 ml.
    • It is unclear whether fat atrophy recurs as a result of reduction of blood supply or due to mechanical manipulation during surgical enucleation.
    • Bony orbital volumes are also noted to be smaller in patients who have had long-standing enophthalmia.

Potential Complications

Exposed Orbital Implant

The Photograph on {the} left is an exposed orbital implant. The implant, once exposed, is at risk for extrusion. If {the} exposure is limited it could be repaired surgically. Otherwise, it my need to be removed, and a dermal fat graft procedure performed

is {the} result of {the} following:

 

Deep Sulcus

 

  • Loss of volume
  • Structural changes
  • Fat atrophy
  • Retraction or changes in extraocular muscles
  • Loss of support of {the} levator complex

Poorly Fitting:

 

Procedures
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