Orbital, Periorbital, and Ocular Reconstruction

Re-excision and reapproximation is critical in the management of lid margin defects. In canalicular repair, the stents should be left in place for 2 months in both adults and children. When indicated, orbital floor fractures should be treated early to decrease postoperative complications. Precise reconstruction of the angle between the orbital floor and the medial wall is critical to prevent enophthalmos. The transconjunctival approach is associated with increased incidence of epiphora. Defects posterior to the equator of the globe are responsible for most posttreatment enophthalmic defects. Adequate volume replacement is critical to prevent poor esthetic outcomes in patients with anophthalmos.