Introduction: Patients with acquired anopthalmic orbits in childhood have a specific anatomical features making hard to fit properly the ocular prostheses, especially those who have received radiotherapy. The reconstruction of the anopthalmic orbits is a challenge for the surgeon because there is no protocol described for treatment.

Material and methods: We present the case of a young male who in the childhood received an enucleation of the eye and radiotherapy due to a retinoblastoma in his left eye. Later shows atrophy of the orbit and periorbital region making hard to fit properly the ocular prostheses; so we decided to perform an orbitary reconstruction with a free forearm flap.

Results: After the surgery the patient presents an increased volume in the periorbital region with a well-positioned ocular prostheses and an aesthetic improvement.

Conclusions: In cases of severe anopthalmic orbits, the use of microvascular flaps gives us an increased volume, as well as it allows us to improve facial aesthetic results and provides a proper adjustment of the ocular prostheses.

Conflict of interest: None declared.