A 43-year-old lady presented to us with complaints of frequent fall of the prosthetic eye from the left eye socket since the past 4 years. She had undergone an evisceration for panophthalmitis followed by secondary implant for volume augmentation 10 years ago. On examination, she had a sunken appearance of the prosthesis with a grade IV SSD and a 4-mm enophthalmos on the left side. There was inferotemporal implant migration with a shallow fornix. She underwent a PSI placement that helped center the migrated spherical implant. The fornix deepened after PSI placement. However, the SSD persisted for which she had a filler injection. Over a follow-up period of 15 months there were no complications noted with either implants. The fornix remained deep thereafter.
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.