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May 1956


AMA Arch Ophthalmol. 1956;55(5):694-698. doi:10.1001/archopht.1956.00930030698011

THE PURPOSE of this paper is to report the experience in fitting 50 blind, unsightly eyes with a cosmetic contact shell.1 Four specific cases are reported in detail by way of illustration. Failures in the past have been due to the technical limitations of fabricating a contact shell thin enough to avoid producing an apparent exophthalmos in the eye covered by the cosmetic shell, especially where an ocular deviation is present. Thus, the fitting of this type of prosthesis has been limited to enophthalmic eyes. During the past few years a new processing technique has been developed whereby an ordinary plastic contact lens is converted into a cosmetic shell, with a thickness of 0.5 mm. or less. In this way, a variety of unsightly eyes have been fitted which in the past had defied prostheses.

Fitting of this type of prosthesis should not be construed as a substitute for