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Purpose : The treatment of enophthalmos and orbital depression is challenging. Although autologous fat graft (AFG) has been widely used in breast augmentation, buttock contouring, and facial rejuvenation, its application in enophthalmos and orbital depression is not yet widespread. The clinical safety and value of autologous fat graft in sighted patients with enophthalmos and orbital depression are unclear. The present study retrospectively analyzed the cosmetic results and safety of autologous fat graft in the correction of sighted traumatic enophthalmos and orbital depression.
Methods : Autologous fat graft was performed in nine patients with posttraumatic enophthalmos and orbital depression. The visual acuity, orbital swelling, eye movement, enophthalmos, and orbital depression were observed.
Results : 8–24 months after the autologous fat graft, enophthalmos and orbital depression in nine patients improved significantly. Although orbital swelling occurred in the early postoperative stage, vision loss, eye movement limitation, or fat embolism did not occur.
Conclusion : Autologous fat graft is an effective, predictable, scarless, and minimally invasive surgery for the correction of the sighted post-traumatic enophthalmos and orbital depression. It can be performed safely by experienced ocular plastic surgeons.
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