The literature of every race stresses the ability of a person to look another in the eye. Ophthalmologists are aware of the fear that a patient has of being conspicuous by this inability. Withdrawal and personality changes may occur in patients who, because of strabismus or loss of an eye, find it difficult to face the world. Self-confidence usually returns with a successful muscle operation or the fitting of a prosthetic eye. Even before World War II there were approximately 600,000 persons in the United States who wore artificial eyes. Since World War II and the Korean conflict the numbers wearing artificial eyes have increased enormously. The magnitude of the need, therefore, warrants some recommendations for surgery, postoperative care, and fitting of functional and cosmetic protheses.
This presentation is not concerned with specific surgical procedures, nor is it intended as a comprehensive discussion; rather, it is offered as an outline
ZEKMAN TN, LADENHEIM J, SCOTT RB. Ocular Prosthetics. AMA Arch Ophthalmol. 1955;54(5):733-743. doi:10.1001/archopht.1955.00930020739017