Comparison of Two Techniques of Rehabilitating Ocular Defect with Custom Made Ocular Prosthesis

Loss of an eye or any body part has an intimidating and crippling effect on the psychosocial well-being of the patient. Although the artificial prosthesis cannot restore the function, it can highly improve the patient’s esthetics and help them regain their psychological confidence. Literature has advocated various rehabilitation modalities including empirical use of stock shells, modifying stock eyes, custom-made ocular prostheses, ocular implants, etc. A custom-made ocular prosthesis, among all the techniques, shows improved adaptation to tissue bed, distributes uniform pressure, provides a more esthetic and precise result, and is relatively cost-effective. This case report explores a relatively comprehensive method of custom ocular prosthesis fabrication for an ocular defect with a satisfactory outcome.

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Prosthetic Rehabilitation of a Patient with Ocular Defect- A Case Report

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672084 ◽

2017 ◽

Vol 05 (01) ◽

pp. 063-066

Author(s):

Jaswinder Kaur

Keyword(s):

Case Report ◽

Emotional Problems ◽

Prosthetic Rehabilitation ◽

Ocular Prosthesis ◽

Custom Made ◽

Ocular Defect ◽

Successful Rehabilitation

AbstractThe disfigurement associated with the loss of an eye may result in significant physical and emotional problems. The article describes the successful rehabilitation of a patient with missing eye with a custom made ocular prosthesis. This allows the patient to be accepted in society without being a victim of unwanted sympathy.

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Rehabilitating an Ocular Defect with a Custom Made Ocular Prosthesis: A Clinical Report

Indian Journal of Forensic Medicine & Toxicology ◽

10.37506/ijfmt.v15i2.14975 ◽

2021 ◽

Keyword(s):

Clinical Report ◽

Ocular Prosthesis ◽

Custom Made ◽

Ocular Defect

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Ocular defect rehabilitation in battle causality with custom made ocular prosthesis – A case report

IP Annals of Prosthodontics and Restorative Dentistry ◽

10.18231/j.aprd.2020.012 ◽

2020 ◽

Vol 6 (1) ◽

pp. 43-46

Author(s):

Poonam Prakash ◽

◽

SK Bhandari ◽

Kirandeep Singh ◽

Rahul Bahri ◽

...

Keyword(s):

Case Report ◽

Ocular Prosthesis ◽

Custom Made ◽

Ocular Defect

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FABRICATION OF OCULAR PROSTHESIS - A COMBINATION OF A STOCK AND CUSTOM MADE PROSTHESIS- A CASE REPORT

International Journal of Advanced Research ◽

10.21474/ijar01/12041 ◽

2020 ◽

Vol 8 (11) ◽

pp. 554

Author(s):

Maban Carmeen Coelho ◽

◽

Sunitha Naveen Shamnur ◽

Nandeeshwar D.B ◽

Barath Panjanan Duraiswamy

Keyword(s):

Case Report ◽

Ocular Prosthesis ◽

Custom Made ◽

Ocular Defect ◽

Prosthetic Eye ◽

Custom Ocular Prosthesis

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.

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Prosthetic rehabilitation of an ocular defect with custom-made ocular prosthesis: A case report

IP International Journal of Maxillofacial Imaging ◽

10.18231/j.ijmi.2020.006 ◽

2020 ◽

Vol 6 (1) ◽

pp. 20-23

Author(s):

Rubaiya Rahman ◽

◽

Jogeswar Barman ◽

Sumeet Bhattacherjee ◽

◽

...

Keyword(s):

Case Report ◽

Prosthetic Rehabilitation ◽

Ocular Prosthesis ◽

Custom Made ◽

Ocular Defect

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Recurrent contracted sockets treated with personalized, three-dimensionally printed conformers and buccal grafts

European Journal of Ophthalmology ◽

10.1177/11206721211000013 ◽

2021 ◽

pp. 112067212110000

Author(s):

Annabel LW Groot ◽

Jelmer S Remmers ◽

Roel JHM Kloos ◽

Peerooz Saeed ◽

Dyonne T Hartong

Keyword(s):

Three Dimensional ◽

Case Series ◽

Secondary Outcome ◽

Retrospective Case ◽

Upper Eyelid ◽

Ocular Prosthesis ◽

Buccal Mucosal Graft ◽

Custom Made ◽

3D Printed

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.

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