Scleral tattooing Paul Mowery (aka "Pauly Unstoppable"/"Farrah Flawless"). Larratt got the idea after Dutch eye surgeon Gerrit R. J. Melles gave Shannon's then-wife Rachel Larratt an eye implant. She had a small piece of thin platinum jewelry inserted over the sclera, which is the white layer of the eye, and under the conjunctiva, which is a clear layer covering the sclera. The method Melles had developed included injecting a small drop of saline in order to create a fluid filled pocket before inserting the implant into this pocket, which would gradually shrink and leave only the jewelry behind. Shannon then imagined the
Enucleation of the eye To avoid a sunken appearance to the eye socket, an implant approximating this volume can be placed into the space of the removed eye, secured, and covered with Tenon's capsule and conjunctiva (the mucous membrane covering the natural sclera). Implants can be made of many materials with the most common being plastic, hydroxylapatite, metal alloy or glass. Later, once the conjunctiva have healed and post-operative swelling has subsided, an ocular prosthesis can be placed to provide the appearance of a natural eye. The prosthesis is fabricated by an ocularist. Its form is that of a cupped disc so that it