Comprehensive review on management of contracted anophthalmic socket: Advances and clinical insights

The management of a contracted anophthalmic socket remains one of the most challenging aspects of oculoplastic surgery. Despite advancements in surgical techniques and materials, achieving a stable, well-formed socket capable of supporting a comfortable and motile prosthesis continues to test the surgeon’s skill and judgment. This review summarizes current evidence and evolving strategies in socket reconstruction, emphasizing static and dynamic expansion methods, comparative outcomes, and recent innovations such as three-dimensional-printed implants and biologic grafts. The article also highlights gaps in knowledge, future research directions, and practical recommendations for optimizing functional and esthetic outcomes.