Abstract

The use of implants after enucleation has occupied the attention of ophthalmic surgeons for more than fifty years. A variety of substances have been tried, such as fat, cartilage, bone, ivory, celluloid, paraffin, peat and agar-agar. With the discovery of its shortcomings, each of these has been successively discarded. The material of choice is now a gold or glass ball. The gold ball is generally regarded as the preferred implant. Though in this article I shall discuss the gold ball implant, the technic described applies equally to any form or variety of implant. In my early experience with implants I paid as little attention to the details of the technic of implantation as does the average writer on the subject. My efforts were crowned with failure and escape of the implant in about half of the cases. These disappointing results led me to study carefully the part played in

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