[Repair of the retracted inferior cul-de-sac of cavities of enucleation with fixation to the orbital rim by the double continued suture method].

A technique using two continued sutures is presented to enlarge the inferior conjunctival sac. The mucosal or cutaneous graft is held in position by a direct fixation to the periosteum of the inferior orbital rim without any blepharorraphy. Several methods have been proposed. In this new operative technique a first smooth continued suture is prepared on the periosteum and a second suture is drawn through the graft and each curl of the first one. The advantages are: 1. A strong and permanent fixation to the orbital rim, 2. Without any external suture, 3. A safe procedure. There were no complication and long term follow up revealed no change in the position of the cul de sac in a series of 17 patients.