A 25-year-old gentleman presented to us with an unstable prosthesis on the right side. He was diagnosed to have right eye secondary glaucoma with ciliary staphyloma at the age of 8 years for which he underwent an enucleation with 18-mm PMMA implant. Six years later, he developed post-enucleation socket syndrome with a shallow of inferior fornix. He was operated for fornix formation over three sittings in the postoperative period over the next 11 years; however, he had recurrent shortening of the fornix. On examination, there was lower eyelid laxity with shallow inferior fornix and a grade 2 SSD. The implant was migrated in the inferotemporal quadrant and palpable anterior to the inferior orbital rim. He underwent a PSI placement in the inferotemporal quadrant. This was followed by a fornix formation suture with mucus membrane graft for surface expansion. A COP was fabricated and dispensed 6 weeks thereafter. Over the next 20 months, both the implants remained stable and so did the inferior forniceal depth. There was a posterior movement of the spherical implant in the z-axis along with its centration in the orbit following the placement of PSI [].
A 24-year-old gentleman presented to us with complaint of frequent loss of the prosthesis from the eye socket. He had undergone right eye enucleation with a 16-mm implant for retinoblastoma at the age of 4 years. He was diagnosed to have inferotemporal implant migration with a shallow inferior fornix at the 3-month postoperative visit. Two years later, he underwent fornix formation sutures for the right side; however, the inferior fornix remained shallow in the postoperative period. He then underwent a PSI placement along with a fornix formation suture and over a follow-up period of 17 months, there were no complications noted. The postoperative scan revealed a posterior movement of the spherical implant in the z-axis along with its centration in the orbit following placement of PSI.