Dermis-fat grafts and evisceration.

Dermis-fat grafts (DFGs) are currently accepted as a viable reconstructive tool in select cases for primary enucleation, replacing an extruded or migrated implant after enucleation, augmenting superior sulcus defects, and reconstructing socket contracture and enophthalmos. The authors describe a new application using dermis-fat grafting either primarily or secondarily in conjunction with evisceration of selected phthisical globes. Enucleation is no longer the only option available when phthisis is present. Evisceration provides improved cosmesis and motility over enucleation. Implementing a DFG with the authors' method allows improvement in the enophthalmos concomitant with a phthisical globe.