LUBKIN AND HUGHES,1 in 1959, recommended the use of slender, crescentic methacrylate conformers, designed to shape the upper and lower fornices during conjunctival repair. These have proven valuable when a normal globe is present. They are particularly helpful when mucosal grafts are used, as they serve to stretch the grafts somewhat and prevent the formation of redundant folds, with their consequent thickening and even necrosis.
About four years ago, two more fornix conformers were added to the armamentarium, for the lateral and for the medial fornices, respectively, (Fig 1). These have been extensively used, have proved their worth, and are herewith presented.
The results of the use of fornix conformers in a 53-year-old woman presenting a variant of essential shrinkage of the conjunctiva with recurrent symblepharon and trichiasis are shown in Fig 2; this depicts the refashioning of the right lower fornix using the inferior conformer after synechiolysis of
Lubkin V. Lateral and Medial Fornix ConformersA New Aid in the Plastic Repair of the Conjunctival Fornices. Arch Ophthalmol. 1968;79(5):582-583. doi:10.1001/archopht.1968.03850040584017