Congenital anophthalmia treated with a dermis fat graft combined with a skin graft in the upper lid in early childhood.

Three infants with unilateral congenital anophthalmia and contracted sockets received early dermis fat and eyelid skin grafts, plus progressive conformer therapy. This approach expanded socket volume, improved periorbital and eyelid dimensions, and enhanced facial esthetics. All patients successfully adapted to ocular prostheses, showing the benefits of timely intervention and reconstruction.