Dr.HARIKA REGANI

, Dr. SANTOSH G. HONAVAR, Dr.Ankita aishwarya

Abstract

Purpose:

To emphasize on the various management options of a contracted socket and to demonstrate socket reconstruction with mucous membrane graft and fornix formation.

Synopsis:

Contracted socket is the shrinkage of all or a part of orbital tissues due to various reasons causing a decrease in the forniceal depth and/ or volume ultimately leading to inability to retain an ocular prosthesis or a poor fitting prosthesis. Socket reconstruction therefore is challenging and is aimed at good prosthetic support and reasonable cosmesis. In this video, we discuss the etiology, classification, treatment options of a contracted socket and specifically demonstrates socket reconstruction with mucous membrane graft from the inner surface of lower lip and fornix formation sutures. Mucous membrane grafting is usually the preferred option in contracted sockets with severe surface loss. The results are usually gratifying with nearly 100% success rate.