THIS is a preliminary report on a new type of implant for use in enucleation procedures. It is designed to impart more rapid movement to the prosthesis and to reduce the possibility of postoperative complications.
The history of evisceration and enucleation has recently been reviewed by Dimitry.1 Although there are surgeons who still do not use an implant of some form, either in the sclera or in Tenon's capsule, the majority today consider that a more adequately filled socket and a better functioning stump are obtained with an implant. Here there is diversity of opinion as to the material, the shape and the method of implantation.
It is a common observation that whether an evisceration or an enucleation with implantation has been done there is fairly good movement of the stump. This is true whether the rectus muscles have been sutured together or not. In fact, often surprisingly good