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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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SYMPOSIUM - OCULAR FACIAL PLASTIC SURGERY
Year : 2015  |  Volume : 22  |  Issue : 4  |  Page : 442-446

Virtual surgical planning for orbital reconstruction


1 Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD, USA
2 Department of Ophthalmology, University of Maryland Medical Center, Baltimore, MD, USA
3 Department of Ophthalmology, Division of Oculoplastic Surgery, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA
4 Department of Plastic and Reconstructive Surgery and Department of Ophthalmology, Division of Oculoplastic Surgery, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA

Correspondence Address:
Srinivas M Susarla
Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, 801 N. Caroline Street, JHOC 8, Baltimore, Maryland
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.164626

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The advent of computer-assisted technology has revolutionized planning for complex craniofacial operations, including orbital reconstruction. Orbital reconstruction is ideally suited for virtual planning, as it allows the surgeon to assess the bony anatomy and critical neurovascular structures within the orbit, and plan osteotomies, fracture reductions, and orbital implant placement with efficiency and predictability. In this article, we review the use of virtual surgical planning for orbital decompression, posttraumatic midface reconstruction, reconstruction of a two-wall orbital defect, and reconstruction of a large orbital floor defect with a custom implant. The surgeon managing orbital pathology and posttraumatic orbital deformities can benefit immensely from utilizing virtual planning for various types of orbital pathology.


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