Many authors have described or advocated implantation of various substances into Tenon's capsule immediately after removal of the eye-ball. This paper is not concerned with these procedures but rather with the introduction of a body behind Tenon's capsule late after healing from enucleation has taken place. A sharp distinction should be made between putting filling into Tenon's capsule while it is open and putting filling behind the organized mat of Tenon's capsule that results from collapse of the walls of the cavity and healing of the flaps of the capsule that come in apposition behind the conjunctival covering of the fundus of the socket.
Patients object to an appearance of sinking of an artificial eye and particularly to sinking below the upper orbital margin above the artificial eye. Along with the sinking there is, in some degree, smoothing of the fold of the upper lid. For such a