Reconstruction of the partially contracted ocular socket or fornix

Arch Ophthalmol. 1988 Apr;106(4):552-6. doi: 10.1001/archopht.1988.01060130598046.


Foreshortening of the conjunctival fornices by symblepharon or scar formation can result in a variety of cosmetic and functional abnormalities for the anophthalmic and the sighted patient. To correct this problem, we have modified a technique for the treatment of totally contracted ocular sockets. Unlike the procedure for total reconstruction of the socket that uses a custom-designed conformer wrapped with a full-thickness mucous membrane graft, reconstruction of a partially contracted socket uses a 0.5-mm-thick mucous membrane graft sutured to the resected socket conjunctiva and splinted in place by a custom-designed conformer. Seventeen patients with a variety of underlying pathologic conditions associated with trauma and prior surgery underwent successful ocular fornix reconstruction using this technique.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Cicatrix / complications
  • Eye, Artificial
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Mouth Mucosa / transplantation
  • Orbit / surgery*
  • Orbital Diseases / etiology
  • Orbital Diseases / surgery
  • Orbital Diseases / therapy
  • Prostheses and Implants
  • Surgery, Plastic*