Prosthesis Failure to Wear and Socket Contraction Treatment

The shrinkage and shortening of the eye surface due to diseases, chemical burns, previous surgeries and previous treatments (radiotherapy) cause difficulties in the use of prosthesis. The prosthesis is designed to fit into the spaces under the lids on the wet membrane called the conjunctiva on the eye surface. If there is narrowing in these areas, the prosthesis cannot be inserted, it falls off by itself during the day when it is inserted. This table is difficult to correct, but possible. It is necessary to enlarge these areas by using wet surfaces to mimic the eye surface. For this purpose, other eye tissue can be taken from the mouth or the eye surface can be formed with a membrane prepared from the umbilical cord of patients who have just given birth.

Dr. The 3 most frequently asked questions to Onur Konuk about the inability to wear a prosthesis and the treatment of socket contraction:

1. Your eye was removed due to a tumor when I was young and radiation therapy was applied. Now my eyes and the side of my face are small. What should I do?

This picture is one of the most difficult subjects of oculoplastic surgery. Here, it is possible to perform socket surgery by removing the mucous membrane from the mouth and the adipose tissue from the abdomen.

2. I had surgery to wear a prosthesis several times before, but my prosthesis is still falling off. I’m tired of having surgery now. What should I do?

Socket contraction is a very difficult table to treat. It is a situation in which even expert oculoplastic surgeons have difficulties. First of all, it is necessary to reveal which area of ​​your eye has tissue deficiency and to apply the procedure accordingly. Perhaps applying epithelial surgery instead of prosthesis may be more beneficial in cosmetic terms.

3. What is epithelial surgery?

Epithesis is a kind of implant surgery applied to people whose eyes were removed for various reasons and who cannot wear a prosthesis. They are prostheses that fill the orbital orbit to fit the magnets attached to the bones around the eye and are cosmetically designed similar to the other eye.