The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Socket reconstruction

Photo by Professor Chua Chung Nen

This 35 year-old man was involved in a road traffic accident 12 years ago. At the time, the right eye was enucleated without implant and the eyelid reconstructed. Over the past three years, he had increased difficult with inserting his prosthesis. Examination showed shallow lower fornix and a deep socket. Reconstruction involved reformation of the lower fornix and eyelid (fornix deepening procedure and lateral tarsal strip) and an acrylic ball implant. Three weeks after the reconstruction, a new prosthesis was inserted and the patient was satisfied.


Poor cosmetic appearance with the existing prosthesis.



Contraction of the lower eyelid.


Shallow lower fornix.


Three weeks after implant and lower eyelid reconstruction.

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