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Since ophthalmologists are beginning to realize that it is possible to fit a prosthesis in cases of congenital blindness of one eye for cosmetic improvement, many patients, varying in age from 3 months to early adult life, have been referred for such fitting. Many patients handicapped by congenital blindness have gone through life unaware that it is possible to fit a prosthesis without the necessity of a surgical operation—the deformity may be overcome so that it is not evident. In fact, it has been my experience over a period of many years that in such cases the natural globe presents an ideal foundation for the introduction of a prosthesis.
Usually the globe is reduced in size, but it is far superior to any implant, so that the best cosmetic results are possible. In fact, the results are vastly superior to those in cases in which an excessively large
GOUGELMAN P. FITTING OF PROSTHESES FOR PATIENTS WITH CRYPTOPHTHALMOS AND EXTREME MICROPHTHALMOS. Arch Ophthalmol. 1937;18(5):774–776. doi:10.1001/archopht.1937.00850110090006
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