Orbital Fat Atrophy
Conditions
Keywords
autologous, fat, orbit, atrophy, cannula
Brief summary
After enucleation or evisceration with placement of a dermis fat graft or integrated orbital implant as a primary procedure, there can be secondary loss of orbital fat volume causing regression of periocular tissue and malpositioning of the cosmetic shell. Current techniques for correction require open surgery to place a sheet/block of biocompatible material or a macroaggregate of fat into the orbit to augment orbital volume for permanent correction. Alternatively, hyaluronic acid-base fillers (Restylane, Radiesse) have been injected, but these have proved to be temporary. The current study seeks to show that a permanent augmentation of orbital volume can be achieved using a closed cannula injection of autologous fat.
Detailed description
To date, 5 subjects have completed fat injections and 4/5 have acquired complete sets of 3 MRIs each. Data analysis has begun. The study has been extended to include 5 more subjects (total 10) to increase the number of data for analysis. To date, the protocol has been expanded to include 10 subjects of which 6/10 have completed fat injections. The study period has been extended to include MRIs at 2 and 5 years after injection.
Interventions
subjects will undergo fat harvesting followed by autologous fat grafting into the orbit into their anophthalmic orbit
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects who have developed secondary orbital fat atrophy after enucleation/evisceration with or without dermis fat grafting * standard sphere or integrated orbital implantation * phthisis bulbi are candidates
Exclusion criteria
* class 3 or greater anesthesia risk * infection * inability to follow study protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Autologous Augmentation of Orbital Volume Using a Closed Cannula Technique | 1-5 years | Autologous fat will be injected into the orbits of anophthalmic human subjects with secondary loss of orbital volume |
Countries
United States