Fig. 6. A. Extruding synthetic enucleation implant. B. Implant has been removed and an opening is made through all layers of the posterior aspect of the orbit to expose the fatty tissue of the muscle cone. A scleral- or fascial-wrapped implant with preplaced sutures is placed within the fatty tissue of the muscle cone. C. The medial and lateral implant sutures are brought out through the fornices and tied. The apical suture imbricates Tenon's fascia. D. Conjunctiva is undermined and closed.