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Vidushi Sharma, MD, FRCS; Arik Nemet, MD; Raf Ghabrial, FRANZCO; Peter A. Martin, FRANZCO; Gina Kourt, FRANZCO; Jenny J. Danks, FRANZCO; George Marcells, FRANZCS

Arch Ophthalmol. 2006;124:1171-1174.

Achieving secure bony fixation of medial canthus is a challenge. We used a resorbable poly-L-lactic acid–polyglycolic acid screw (LactoSorb office fixation kit) in 5 cases: 2 with traumatic medial canthal dystopia, 1 with scleroderma and orbital fat atrophy causing malapposition of the medial canthus to globe, and 2 with invasive medial canthal tumors necessitating subtotal medial orbital exenteration. The resorbable screw with preplaced suture was drilled into the medial orbital wall, using a handheld self-drilling tap. The preplaced suture was used to anchor the medial canthus. We achieved satisfactory canthal position in all 5 cases. There were no complications in 4 cases during a mean ± SD follow-up of 11.3 ± 6 months; however, the scleroderma case developed wound dehiscence 6 weeks after surgery. The LactoSorb kit is a safe and effective technique to achieve bony medial canthal fixation in carefully selected cases.

Author Affiliations: Oculoplastic Units, Sydney Eye Hospital (Drs Sharma, Nemet, Ghabrial, Martin, Kourt, and Danks), Concord Repatriation Hospital (Dr Ghabrial), and St Vincent's Hospital (Dr Danks), and Otorhinolaryngology Unit, Sydney Hospital (Dr Marcells), Sydney, Australia. Dr Sharma is now with the SuVi Eye Institute, Kota, Rajasthan, India.