The treatment of the post-enucleation socket syndrome

Enucleation without using an orbital implant often causes enophthalmos, deep upper eyelid sulcus, ptosis and laxity of the lower lid. These signs constitute the post-enucleation socket syndrome. In order to cope with it, mainly the volume deficit of the orbit has to be filled with a silicone implant encased in homologous sclera. A new fixation technique of the sclera-silicone implant in the oribital cavity is described: an strong connection between sclera and orbital connective tissue can be achieved my means of the fibrin scaling method. In most cases adequate volume replacement can be achieved by using this technique. In addition the mobility of the artificial eye can be improved. Possible complications are discussed and the results are demonstrated.