THIS IS a preliminary report on a new type of implant based on one year's use. This implant has a positive mechanical contact between the implant and the prosthesis, which provides a wide range and spontaneity of movement. The implant, in addition, eliminates sagging of the lower lid and minimizes sinking in of the upper lid.
Previously described implants, with the exception of the combined implant and prosthesis recently described by Ruedemann,1 have been totally enclosed within Tenon's capsule and the conjunctiva or, in the case of evisceration, within the sclera and conjunctiva. In these circumstances, the available conjunctiva left to permit the prosthesis to rotate in the fornices has been diminished from that in the natural eye by the area occupied by the cornea. In the implant to be described, the anterior face is exposed, and thus the fornices have not been diminished. The exposed face, with an
CUTLER NL. A POSITIVE CONTACT BALL AND RING IMPLANT FOR USE AFTER ENUCLEATION. Arch Ophthalmol. 1947;37(1):73-81. doi:10.1001/archopht.1947.00890220080007