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Case Reports in Surgery
Volume 2011, Article ID 731259, 4 pages
Case Report

Correction of Anophthalmic Enophthalmos with a Three-Staged Procedure: Two Case Reports

1Department of Plastic and Reconstructive Surgery, Asahikawa Kosei General Hospital, 1-jo-dohri 24-chome 111, Asahikawa, Hokkaido 078-8211, Japan
2Department of Plastic and Reconstructive Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido 060-0815, Japan

Received 17 June 2011; Accepted 25 July 2011

Academic Editor: M. Vlychou

Copyright © 2011 Tomohiro Minagawa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Surgical correction of an anophthalmic enophthalmos secondary to inappropriate repair of the eye socket involves several difficult aesthetic issues associated with long-term use of a poorly fitting prosthetic eye. In this paper, we present two cases of anophthalmic enophthalmos. During the treatment of the first patient, unsatisfactory cosmetic problems including lower eyelid retraction, hypoglobus, and severe upper eyelid ptosis were revealed. Accordingly, a three-staged procedure was performed on the second patient, including autologous augmentation of the eye socket, correction of lower eyelid retraction with a cartilage graft, and a frontalis sling procedure to correct upper eyelid ptosis.