Correction of the inadequate lower fornix in the anophthalmic socket

Editor,—A well formed inferior fornix in the anophthalmic socket requires an adequate amount of conjunctival tissue and a deep recess. Obliteration of the fornix might occur either secondary to conjunctival shrinkage or as a result of obliteration of the inferior recess and inadequate fixation of the abundant conjunctiva.1 In the latter condition, the subject of this report, prolapse of the forniceal conjunctiva will result in anterior rotation of the inferior edge of the prosthesis and secondary laxity of the lower lid. This report presents a modification of the technique described previously by Neuhaus and Hawes for the correction of the above condition.1 ### CASE REPORT Twenty patients with an inadequate inferior fornix and sufficient amount of conjunctival tissue who presented over a period of 5 years were managed. They all complained of easy prolapse of the lower edge of the prosthesis and sagging of the lower lid. The procedure was done under …