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February 1959

The Fornix ConformerA New Device in Reconstruction of the Fornices

Author Affiliations

New York
New York Eye and Ear Infirmary; Assistant Plastic Surgeon (Dr. Lubkin) and Consulting Plastic Surgeon (Dr. Hughes).

AMA Arch Ophthalmol. 1959;61(2):248. doi:10.1001/archopht.1959.00940090250010

The fornix conformer was devised about four years ago for the smooth reconstruction of conjunctival fornices in cases in which the presence of a seeing eye precludes the use of the standard complete conformer. The previous technique of passing two or three double-armed sutures through the lid obviously was susceptible of improvement.

The device consists of a narrow crescent of methyl methacrylate polymer shaped to fit either the upper or the lower fornix. As depicted in Figure 1, the conformer was cast from a pattern shaped in dental wax. Double holes were drilled with a dental drill to allow the passage of three pairs of double-armed sutures from the conjunctival side. Sutures were tied over pegs on the skin.

In recent cases, a modification was used in positioning peritoneal grafts replacing almost the entire conjunctival surface. The conformer was cut as a segment of a standard plastic orbital conformer, and

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