scholarly journals A Multidisciplinary Approach for Ocular Rehabilitation Following Ophthalmomalacia in a Paediatric Patient

2012 ◽  
Vol 1 (2) ◽  
pp. 24
Author(s):  
H. Aggarwal ◽  
S. Jurel ◽  
P. Kumar ◽  
R. D. Singh ◽  
H. A. Alvi

The traumatic loss of an eye is not just the loss of an essential sense organ. It results in life-long agony of not being like others with two eyes, which can see and admire the nature's beauty. As young patients are quite sensitive to peer pressure and for them, the greatest challenges are in the terms of identity and social acceptance, so, early rehabilitation is must in such patients. This article reports on the rehabilitation of a 13-year boy with custom ocular prosthesis for his traumatically injured left eye. The custom made ocular prosthesis fitted over the patient's left eye with ophthalmomalacia, successfully restored the patient's aesthetics and improved his social acceptance thereby, improving his quality of life.

2017 ◽  
Vol 11 (01) ◽  
pp. 130-134 ◽  
Author(s):  
Nafij Bin Jamayet ◽  
John Kariuki Kirangi ◽  
Adam Husein ◽  
Mohammad Khursheed Alam

ABSTRACTEnucleation and evisceration are the most common surgical procedures that are performed to manage tumor, trauma, and infection. Given the consequences of surgical intervention, the conditions of the remaining eye socket may affect future prosthetic rehabilitation. A custom-made ocular prosthesis can be used to help restore the esthetics and functional defects and to improve the quality of life of patients with such conditions. An assessment must be performed on the prosthetic outcome before rehabilitation. The etiology of defect, type of surgery, condition of the remaining socket, and patient's age should all be considered. This report discusses three different etiological eye defects that have undergone enucleation and evisceration and describes the factors that have a significant role in the esthetic and functional outcome of the prosthesis. This report should serve as a helpful aid for maxillofacial prosthodontists to understand the primary objective of rehabilitating each eye defect and to meet patient expectations.


2013 ◽  
Vol 01 (01) ◽  
pp. 049-052
Author(s):  
Ravi Y. ◽  
Srinivas K. ◽  
Manmeet Singh ◽  
Anuj Wangoo

AbstractThe eye is a vital organ and an important component of facial expression. Loss of an eye has a crippling effect on the appearance and psychology of the patient. Surgical removal of the eye is therefore normally followed by fabrication of an ocular prosthesis to improve esthetics. A cosmetically acceptable prosthesis is that which reproduces the natural color, contour, size and iris orientation. A sequence of steps for the construction of custom made ocular prosthesis is outlined in this case report using a modified impression technique.


2021 ◽  
Vol 4 (1) ◽  
pp. 48-52
Author(s):  
D Devkota ◽  
SRB Mathema

Physical defects that compromise appearance or function, which prevent an individual from leading a normal life, usually prompt the individual to seek treatment that will reinstate acceptable normalcy. The loss of an eye impairs the patient’s visual function, yet also results in a noticeable deformity. Prosthesis should be provided as soon as possible to raise the spirits and ease the mind of the afflicted. An ocular prosthesis is a maxillofacial prosthesis that artificially replaces an eye missing as a result of trauma, surgery, or congenital absence. A custom ocular prosthesis has advantage of close adaptation to the tissue bed, provides maximum comfort and restores full physiological function to the accessory organs of the eye.


2012 ◽  
Vol 11 (1) ◽  
pp. 65-75
Author(s):  
Ravindra C Savadi ◽  
Anupama Savadi ◽  
Satheesh Kumar ◽  
Preeti Satheesh

An artificial eye is a prosthetic unit that serves to replace the lost orbital volume when the living eye is either shrunken or surgically removed. The custom prostheses are made to adapt to the contour of the orbital tissues and eyelids, and colored to match the companion eye. Although implant eye prosthesis has a superior outcome, due to economic factors it may not be advisable in all patients. Therefore, a custom-made ocular prosthesis is an excellent alternative. But the common failing of such custom made ocular prosthesis has been that there is no or very limited mobility of the eye prosthesis, which marks it as what it is, an artificial prosthesis. In the following clinical report it will be demonstrated with the help of a patient the use of a movable custom made ocular prosthesis, which shows marked mobility.


Cureus ◽  
2018 ◽  
Author(s):  
Minati Choudhury ◽  
Fathima Banu ◽  
Shanmuganathan Natarajan ◽  
Anand Kumar ◽  
Padmanabhan TV

2019 ◽  
Vol 18 (4) ◽  
pp. 823-826
Author(s):  
Taseef Hasan Farook ◽  
Ahmed Mushfiqur Rahman ◽  
Md Minhaz Ul Islam Nizami ◽  
Mehedi Amin ◽  
Nafij Bin Jamayet ◽  
...  

Objective:This case report describes the rehabilitation process of a case of acquired eye defect with patient specific or custom made ocular prosthesis for a patient who had her left eye surgically enucleated as a treatment step for retinoblastoma. Method: After primary evaluations, an intraorbital impression was taken while reproducing natural eye movements to ensure accuracy of the impression. The impression was cast and a transparent acrylic conformer was made from the mould in the cast. The conformer was adjusted as required and Iris position determined. The conformer was then used to cast the final custom ocular prosthesis. The patient was then instructed on its usage and maintenance. Result: A custom made ocular prosthesis was provided to the patient and it was to her satisfaction. Conclusion: Custom made ocular prosthesis is highly recommended in rehabilitation of facial defects of a co-operative patient as it does not have most of the limitations which a stock ocular prosthesis does. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.823-826


2020 ◽  
Vol 8 (11) ◽  
pp. 554
Author(s):  
Maban Carmeen Coelho ◽  
◽  
Sunitha Naveen Shamnur ◽  
Nandeeshwar D.B ◽  
Barath Panjanan Duraiswamy

An ocular defect may affect a patient psychologically and an ocular prosthesis is given to uplift the patient psychologically and improve the confidence. Defects of the eye may follow the removal of a part of or the entire orbit. This results in the patient becoming visually and psychologically handicapped. Restoring the defect with a prosthesis not only restores esthetics but also gives back the lost confidence to the patient. This is a case report of a patient with a prosthetic eye fabricated by the combination of a stock eye and a custom ocular prosthesis.


2021 ◽  
pp. 112067212110000
Author(s):  
Annabel LW Groot ◽  
Jelmer S Remmers ◽  
Roel JHM Kloos ◽  
Peerooz Saeed ◽  
Dyonne T Hartong

Purpose: Recurrent contracted sockets are complex situations where previous surgeries have failed, disabling the wear of an ocular prosthesis. A combined method of surgery and long-term fixation using custom-made, three-dimensional (3D) printed conformers is evaluated. Methods: Retrospective case series of nine patients with recurrent excessive socket contraction and inability to wear a prosthesis, caused by chemical burns ( n = 3), fireworks ( n = 3), trauma ( n = 2) and enucleation and radiotherapy at childhood due to optic nerve glioma ( n = 1) with three average previous socket surgeries (range 2–6). Treatment consisted of a buccal mucosal graft and personalized 3D-printed conformer designed to be fixated to the periosteum and tarsal plates for minimal 2 months. Primary outcome was the retention of an ocular prosthesis. Secondary outcome was the need for additional surgeries. Results: Outcomes were measured at final follow-up between 7 and 36 months postoperatively (mean 20 months). Eight cases were able to wear an ocular prosthesis after 2 months. Three cases initially treated for only the upper or only the lower fornix needed subsequent surgery for the opposite fornix for functional reasons. Two cases had later surgery for cosmetic improvement of upper eyelid position. Despite pre-existing lid abnormalities (scar, entropion, lash deficiency), cosmetic outcome was judged highly acceptable in six cases because of symmetric contour and volume, and reasonably acceptable in the remaining two. Conclusions: Buccal mucosal transplant fixated with a personalized 3D-designed conformer enables retention of a well-fitted ocular prosthesis in previously failed socket surgeries. Initial treatment of both upper and lower fornices is recommended to avoid subsequent surgeries for functional reasons.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042627
Author(s):  
María Reina-Bueno ◽  
María del Carmen Vázquez-Bautista ◽  
Inmaculada C Palomo-Toucedo ◽  
Gabriel Domínguez-Maldonado ◽  
José Manuel Castillo-López ◽  
...  

IntroductionSystemic lupus erythaematosus (SLE) is a chronic autoimmune disease of heterogeneous involvement. The disease may affect feet with a high prevalence of symptoms such as, for example, pain, forefoot and rearfoot deformities, and biomechanics dysfunctions. Custom-made foot orthoses (CMFO) have been previously reported to be effective in patients with other rheumatic diseases. However, as far as the authors know, there exist no studies about their effectiveness in SLE. This study aims at determining the effect of CMFO versus placebo flat cushioning insoles on pain, foot functionality, fatigue and quality of life in patients with SLE.Methods and analysisA randomised controlled trial would compare the effects of (1) CMFO and group B, which received a placebo, flat cushioning insoles, for 3 months. The main outcome measures are foot pain, foot functionality and foot-related disability. The secondary outcome measures are fatigue and quality of life.Ethics and disseminationThe study has been approved by the Portal de Ética de la Investigación Biomédica de Andalucía ethical committee 1494-N-19. The results will be disseminated regardless of the magnitude or direction of effect.Trial registartion numberClinicaltrials.gov identifier NCT04098055.


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