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August 1969

Reconstruction of a Contracted Socket: The Use of an Expandable Silicone Tire

Author Affiliations

From the departments of ophthalmology, University of Pennsylvania and Frankford Hospital, Philadelphia.

Arch Ophthalmol. 1969;82(2):218-219. doi:10.1001/archopht.1969.00990020220014

THE TECHNIQUES of socket reconstruction include methods to deepen both the superior and inferior fornices. The main purpose of reconstructive procedures is to allow the socket to maintain a prosthetic eye which has a satisfactory cosmetic appearance and, if possible, good motility.1-6 Mucous membrane and split-thickness skin can be utilized for this purpose. In general, mucous membrane is more satisfactory.

Techniques are now used whereby molded gutta-percha conformers and also plastic conformers support the mucous membrane graft. The purpose of this paper is to report a new method of maintaining the graft in place.

A silicone tire which is expandable in any segment of its circumference is utilized. The inferior portion of the silicone conformer is solid, and this is wired to the inferior orbital floor (Fig 1).

Procedure  The patient was a 28-year-old woman with an extruding integrated implant (Fig 2).The prosthesis had been inserted into her