Note has previously been made of the frequency with which depressed fractures of the orbital floor are associated with traumatic enophthalmos.1 When the injury has been severe enough to necessitate removal of the globe, attempts at installing a satisfactory prosthesis are usually cosmetically unsatisfactory. The chief blemish is the loss of fulness normally present in the upper lid and its replacement by a disfiguring sulcus. To a less degree this defect is often seen after an uncomplicated enucleation and may possibly be due to atrophy of orbital fat associated with trauma incident to the operative technic. Particularly, when an attempt is made to secure a long stump to the nerve, the enucleation scissors may perforate Tenon's capsule and injure the blood supply to fat lobules.
It has been found that both types of defect may be remedied by the subperiosteal insertion of inert material in the floor of the
DEVOE AG. REPAIR OF ORBITAL DEFORMITIES WITH GLASS WOOL. Arch Ophthalmol. 1947;38(2):245-247. doi:10.1001/archopht.1947.00900010252009