Contracture of Fornices
Preventing contracted fornices includes preserving as much conjunctiva as possible and limiting dissection in the fornices. Placing extraocular muscles in their normal anatomical positions also minimizes shortening of the fornices. It is recommended that the patient wear a conformer in the immediate postoperative period to maintain soft-tissue anatomy and minimize conjunctival shortening. Conformers and prostheses should not be removed for periods greater than 24 hours. The prosthesis can be removed and cleaned, especially in the presence of infection, but should be replaced promptly after irrigation of the socket.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.