A Simplified Approach to Fabricate a Custom-made Ocular Prosthesis

ABSTRACT Loss of eye causes psychological trauma because of the facial disfigurement associated with the loss of facial structures. Rehabilitation with ocular prosthesis relieves this psychological trauma by restoring the lost facial structure and esthetics of the patient, thus aiding the individual in leading a normal, social and professional life. Though prefabricated ocular prostheses are available, due to better adaptation, comfort and esthetics custom-made ocular prosthesis is more preferable than prefabricated stock shells. This article aims at describing a simplified technique to fabricate a custom-made ocular prosthesis. How to cite this article Debnath N, Gupta R, Meenakshi A, Ramkumar K, John J. A Simplified Approach to Fabricate a Custom-made Ocular Prosthesis. Int J Prosthodont Restor Dent 2013;3(1):25-29.

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A Simplified Approach for Ocular Rehabilitation - A Case Report

Journal of Nepalese Prosthodontic Society ◽

10.3126/jnprossoc.v3i2.36389 ◽

2020 ◽

Vol 3 (2) ◽

pp. 120-124

Author(s):

P Manandhar ◽

S R.B. Mathema

Keyword(s):

Case Report ◽

Cost Effective ◽

Well Being ◽

Body Part ◽

Ocular Prosthesis ◽

Simplified Approach ◽

Comprehensive Method ◽

Satisfactory Outcome ◽

Custom Made ◽

Ocular Defect

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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A Simplified Approach for Placing the Iris Disc on a Custom Made Ocular Prosthesis: Report of Four Cases

The Journal of Indian Prosthodontic Society ◽

10.1007/s13191-012-0179-9 ◽

2012 ◽

Vol 14 (1) ◽

pp. 124-127 ◽

Cited By ~ 4

Author(s):

Pradeep Kumar ◽

Himanshi Aggrawal ◽

Raghuwar D. Singh ◽

Pooran Chand ◽

Sunit K. Jurel ◽

...

Keyword(s):

Ocular Prosthesis ◽

Simplified Approach ◽

Custom Made

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Restoration of a Traumatically Amputated Finger by a Traditional Glove-Type Prosthesis: A Case Report

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.3.853 ◽

2021 ◽

Vol 3 (3) ◽

pp. 41-45

Author(s):

Simarpreet Kaur ◽

Mandeep Kaur ◽

Anupama Verma ◽

Tarun Singh

Keyword(s):

Case Report ◽

Index Finger ◽

Treatment Plan ◽

Psychological Trauma ◽

Microvascular Reconstruction ◽

Prosthetic Rehabilitation ◽

Form And Function ◽

Custom Made ◽

The Individual ◽

And Function

Background: Each organ serves a specific function in the human body. Congenital absence or loss of even minor parts of it can pose extreme psychological trauma in addition to the functional impairment and esthetic issues encountered by the individual. Amputation of complete or a part of phalange of hand is frequently encountered either due to trauma or necrosis. Restoration of such defects become mandatory to improve general form and function combined with the esthetic requirements of the patient. It can either be done by microvascular reconstruction or prosthetic rehabilitation. The latter becomes the means of choice in cases where the former is either not possible, unavailable, unsuccessful, or unaffordable. Case Report: A case report has been presented of a 60 years old patient with an old traumatic partially amputated index finger. Treatment Plan: A custom-made glove-type prosthesis was fabricated using silicone elastomer. Conclusion: A ring is provided for better esthetics and special adhesive is recommended for retention of the prosthesis.

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Custom made ocular prosthesis: A case report

Journal of Nepalese Prosthodontic Society ◽

10.3126/jnprossoc.v4i1.42316 ◽

2021 ◽

Vol 4 (1) ◽

pp. 48-52

Author(s):

D Devkota ◽

SRB Mathema

Keyword(s):

Physiological Function ◽

Trauma Surgery ◽

Ocular Prosthesis ◽

Maxillofacial Prosthesis ◽

Custom Made ◽

Physical Defects ◽

Maximum Comfort ◽

The Individual ◽

The Mind ◽

Custom Ocular Prosthesis

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.

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Aesthetic Rehabilitation with Ocular Prosthesis - A Case Report

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210827 ◽

2021 ◽

Vol 11 (8) ◽

pp. 190-193

Author(s):

Rajesh Khan ◽

Shubhabrata Roy

Keyword(s):

Case Report ◽

Key Words ◽

Psychological Trauma ◽

Social Representation ◽

Facial Aesthetics ◽

Ocular Prosthesis ◽

Custom Made ◽

Scleral Shell

It is obvious that a person suffers from severe emotional, social, and psychological trauma when an eye is lost due to any reason. After evisceration, custom made ocular prosthesis can be used to improve facial aesthetics as well as social representation of that person. It is always a challenge to properly fabricate an alternate to the lost eye. But after fabrication, it certainly improves psychological satisfaction of the patient. In this case report, it is attempted to show how a patient was aesthetically rehabilitated with an ocular prosthesis. Key words: Ocular prosthesis, Ocular conformer, Scleral shell.

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FABRICATION OF OCULAR PROSTHESIS IN A SINGLE APPOINTMENT USING A CUSTOM PAINTED IRIS- A CASE REPORT.

10.36106/ijsr/5906561 ◽

2021 ◽

pp. 28-30

Author(s):

Nandana Bose ◽

Aditya Banik ◽

Samiran Das

Keyword(s):

Treatment Outcome ◽

Case Report ◽

Present Article ◽

Social Acceptance ◽

Psychological Impact ◽

Psychological Trauma ◽

Facial Structure ◽

Ocular Prosthesis

Loss of any facial structure can have a deep social, physical and psychological impact on the patient. Rehabilitation of such patients with ocular prosthesis helps to overcome not only their psychological trauma but also social acceptance by restoring the lost facial structure and aesthetics of patient. The present article describes a method of fabricating ocular prosthesis in a single appointment by using conventional materials for acceptable t and optimum aesthetic treatment outcome

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A novel clinical applicable bed-side tool for assessing conditioning pain modulation: proof-of-concept

Scandinavian Journal of Pain ◽

10.1515/sjpain-2020-0033 ◽

2020 ◽

Vol 20 (4) ◽

pp. 801-807

Author(s):

Lars Arendt-Nielsen ◽

Jesper Bie Larsen ◽

Stine Rasmussen ◽

Malene Krogh ◽

Laura Borg ◽

...

Keyword(s):

Pain Modulation ◽

Clinical Settings ◽

Proof Of Concept ◽

Finger Nail ◽

Tonic Stimulus ◽

Pressure Pain Thresholds ◽

Custom Made ◽

The Individual ◽

Descending Pain Modulation ◽

Finger Pressure

AbstractBackground and aimsIn recent years, focus on assessing descending pain modulation or conditioning pain modulation (CPM) has emerged in patients with chronic pain. This requires reliable and simple to use bed-side tools to be applied in the clinic. The aim of the present pilot study was to develop and provide proof-of-concept of a simple clinically applicable bed-side tool for assessing CPM.MethodsA group of 26 healthy volunteers participated in the experiment. Pressure pain thresholds (PPT) were assessed as test stimuli from the lower leg before, during and 5 min after delivering the conditioning tonic painful pressure stimulation. The tonic stimulus was delivered for 2 min by a custom-made spring-loaded finger pressure device applying a fixed pressure (2.2 kg) to the index finger nail. The pain intensity provoked by the tonic stimulus was continuously recorded on a 0–10 cm Visual Analog Scale (VAS).ResultsThe median tonic pain stimulus intensity was 6.7 cm (interquartile range: 4.6–8.4 cm) on the 10 cm VAS. The mean PPT increased significantly (P = 0.034) by 55 ± 126 kPa from 518 ± 173 kPa before to 573 ± 228 kPa during conditioning stimulation. When analyzing the individual CPM responses (increases in PPT), a distribution of positive and negative CPM responders was observed with 69% of the individuals classified as positive CPM responders (increased PPTs = anti-nociceptive) and the rest as negative CPM responders (no or decreased PPTs = Pro-nociceptive). This particular responder distribution explains the large variation in the averaged CPM responses observed in many CPM studies. The strongest positive CPM response was an increase of 418 kPa and the strongest negative CPM response was a decrease of 140 kPa.ConclusionsThe present newly developed conditioning pain stimulator provides a simple, applicable tool for routine CPM assessment in clinical practice. Further, reporting averaged CPM effects should be replaced by categorizing volunteers/patients into anti-nociceptive and pro-nociceptive CPM groups.ImplicationsThe finger pressure device provided moderate-to-high pain intensities and was useful for inducing conditioning stimuli. Therefore, the finger pressure device could be a useful bed-side method for measuring CPM in clinical settings with limited time available. Future bed-side studies involving patient populations are warranted to determine the usefulness of the method.

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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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