PMC5974821_01
Hypoglobus, enophthalmos, and ocular movements preoperatively
MEAJO-25-56-g001.jpg
PMC5974821_01_MEAJO-25-56-g001.jpg
F1
On examination, severe hypoglobus, enophthalmos, and limitation of upgaze were observed [Figure 1].
(a) Physical model constructed on the basis of Digital Imaging and Communications in Medicine dataset with a defect in the inferior orbital wall; (b and c) preoperative sizing and trimming of the implant; (d) solid model with the trimmed implant
MEAJO-25-56-g002.jpg
PMC5974821_01_MEAJO-25-56-g002.jpg
F2
After provision of the physical model [Figure 2a], the porous polyethylene plate (MEDPOR TM) was overlaid on the ledges of the defect and properly sized and trimmed ex vivo [Figure 2b-d].
Ocular movements postoperatively
MEAJO-25-56-g003.jpg
PMC5974821_01_MEAJO-25-56-g003.jpg
F3
At the 1-month visit, diplopia in primary and reading position were abolished completely, and there was trivial diplopia only in extreme upgaze [Figure 3].