Contracture or poor development of the eye socket is one of the most perplexing problems in ophthalmic plastic surgery. In general the best treatment for enlargement of the socket is expansion treatment by graduated conformers or expanders over a prolonged period. Considerable variation exists in the size, shape, consistency, and technique of applying pressure to encourage growth of the socket. Cutting surgery is never indicated, provided expansion of the socket is possible by a nonsurgical means. Surgery for this condition is difficult, unpredictable, and at times unreliable. Unfortunately, certain deformities of the socket are not amenable to expansion treatment and must be treated by surgery if an artificial eye is to be retained.
The normal lining of the socket is composed of conjunctiva. This moist smooth surface is a most efficient type of covering. Other sources of mucous membrane are available if insufficient conjunctiva becomes a problem. Grafts of mucous
SMITH B. Reconstruction of the Eye Socket. Arch Ophthalmol. 1964;71(4):517-519. doi:10.1001/archopht.1964.00970010533016