[The correction of supra-tarsal depression after enucleation]

Supra-tarsal depression after enucleation is a frequent occurrence, and many surgical methods have been applied to correct this anomaly, which results from the relative smallness of the implant, and its downward migration. As subperiosteal orbital floor implants provided unsatisfactory results a mould of the supra- tarsal depression was taken to attempt direct correction of the anomaly, by means of a silicone-gel custom-made prothesis. The prothesis is implanted behind the septum orbitale, above the levator muscle and in front of the recessed orbital fat. Good results have been obtained in the 6 cases treated in this manner, and no complications have been reported.