Management of the contracted eye socket.

The approach to the surgical management of the contracted eye socket requires a good patient history and preliminary evaluation. Upon assessing the extent of socket contraction, the surgeon has at his disposal several procedures. For moderate socket contraction, a mucous membrane graft may be employed. For severe contraction, split thickness skin graft and a socket mold wired to the orbital rim is advocated. For the extruding or exposed implant, a dermal-far graft is recommended.