scholarly journals Customized Liquid Ocular Prosthesis for Anophthalmic Patients suffering from Dry Eye: A Clinical Research

2016 ◽  
Vol 6 (3) ◽  
pp. 57-62
Author(s):  
Rubina Gupta ◽  
Arjun Bharat ◽  
Sushil Nijhawan
Keyword(s):  
Clinical Research ◽  
Dry Eye ◽  
Marked Reduction ◽  
Ease Of Use ◽  
Clinical Implications ◽  
Artificial Eye ◽  
Ocular Prosthesis ◽  
Custom Made ◽  
Prosthetic Eyes ◽  
Prosthetic Eye

ABSTRACT Problem Prosthetic eyes often cause dryness, irritation, and inflammation of the anophthalmic sockets. Purpose To reduce the discomfort caused due to dryness of ocular prosthesis by a custom-made hollow ocular acrylic prosthesis, which is filled with lubricant drops slowly and systemically released into the ophthalmic cavity upon blinking. Materials and methods Thirty-eight patients wearing unilateral artificial eye for a period of more than 6 months were evaluated. An innovative customized hollow prosthesis is described, which was incorporated with a hollow reservoir containing a combination of a tear substitute along with cyclosporine A (0.05%) acting as the lubricant. The patients were then evaluated with the help of a questionnaire, regarding the comfort, dryness, soreness, and the ease of use of prosthesis. A self-formulated grading system was used to record the scores. Results Postinsertion of this hollow prosthesis, there was a marked reduction in the dryness, irritation, discomfort, and signs of inflammation. Conclusion It was concluded that the continuous flow of the lubricant onto the dry prosthetic eye helps in reducing dryness, irritation, soreness, and inflammation. Clinical implications A hollow ocular prosthesis that can continuously discharge lubricant onto the dry prosthesis can help in increasing patient's acceptance and comfort. How to cite this article Gupta R, Aggarwal R, Bharat A, Nijhawan S. Customized Liquid Ocular Prosthesis for Anophthalmic Patients suffering from Dry Eye: A Clinical Research. Int J Prosthodont Restor Dent 2016;6(3):57-62.

scholarly journals Custom Made Acrylic Resin Ocular Prosthesis Using a Modified Technique: A Preliminary Report

2015 ◽  
Vol 2 (4) ◽  
pp. 41-44
Author(s):  
Neha Malaviya ◽  
B Khanal ◽  
A Yadav ◽  
S Subhas
Keyword(s):  
Preliminary Report ◽  
Acrylic Resin ◽  
Surgical Removal ◽  
Medical Sciences ◽  
Artificial Eye ◽  
Modified Technique ◽  
Intimate Contact ◽  
Ocular Prosthesis ◽  
Custom Made ◽  
Eye Shell

The loss of one eye may be due to a congenital defect, pathology or trauma requiring the surgical removal of eyeball. This causes significant physical and emotional disturbance to the patient. Psychological distress can be reduced by timely replacement with an artificial eye. This preliminary report describes the fabrication of the custom made acrylic resin ocular prosthesis (CMAROP) with a modified technique where a stock eye shell has been used to fabricate a custom ocular impression tray. Try in was done on the same day. The CMAROP achieves intimate contact with the tissue bed and creates functional and esthetically pleasing results.DOI: http://dx.doi.org/10.3126/jucms.v2i4.12068Journal of Universal College of Medical Sciences (2014) Vol.02 No.04 Issue 08Page: 41-44

scholarly journals Prosthetic rehabilitation of enucleated eye with semi-customized ocular prosthesis: A case report

2019 ◽  
Vol 2 (3) ◽  
pp. 169-172
Author(s):  
Indra Kumar Limbu ◽  
Bishal Babu Basnet ◽  
Sandhya Paudel
Keyword(s):  
Case Report ◽  
Facial Expression ◽  
Satisfactory Result ◽  
Emotional Problem ◽  
Vital Organ ◽  
Prosthetic Rehabilitation ◽  
Artificial Eye ◽  
Ocular Prosthesis ◽  
Custom Made

Eye is a vital organ not only for vision but it is also important component of facial expression. The disfigurement associated with loss of eye can cause significant physical and emotional problem. There are several techniques documented in the literature for fabricating the artificial eye. This is a case report of fabricating ocular prosthesis with stock iris and custom made sclera to provide aesthetically satisfactory result and better fit.  

scholarly journals Custom Made Movable Ocular Prosthesis: Esthetics for Social Acceptance

2012 ◽  
Vol 11 (1) ◽  
pp. 65-75
Author(s):  
Ravindra C Savadi ◽  
Anupama Savadi ◽  
Satheesh Kumar ◽  
Preeti Satheesh
Keyword(s):  
Social Acceptance ◽  
Economic Factors ◽  
Clinical Report ◽  
Artificial Eye ◽  
Ocular Prosthesis ◽  
Limited Mobility ◽  
Custom Made ◽  
Eye Prosthesis ◽  
The Common ◽  
Artificial Prosthesis

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.

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

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.

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

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.

scholarly journals A Simplified Approach for Ocular Rehabilitation - A Case Report

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. 

A custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket

2020 ◽  
pp. 112067212097494
Author(s):  
Fan Yang ◽  
Zhengkang Li ◽  
Yuan Deng
Keyword(s):  
Oral Mucosa ◽  
Clinical Effects ◽  
Compression Bandage ◽  
Artificial Eye ◽  
Lower Lip ◽  
Custom Made ◽  
Good Cosmetic ◽  
Contracted Socket ◽  
Cosmetic Outcomes ◽  
The Mean

Purpose: To investigate the clinical effects of a custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket. Methods: Clinical data and photographs of 32 patients with severely contracted socket were retrospectively analyzed. Among the 32 cases, 21 were males and 11 were females. Their ages ranged from 20 to 71 years (mean, 45 years). Each patient underwent conjunctival sac plasty using a custom-made conformer wrapped by oral mucosa, then compression bandage for 1 month. All patients received tarsorrhaphy 6 months postoperatively, and an artificial eye was worn 1 week later. Results: All the grafts were fully vascularized. The conjunctival sacs had enough space to fit the desirable artificial eyes, and adequate aesthetic outcomes were reached postoperatively. The mean depth of the upper fornix was 4.28 ± 0.66 mm preoperatively and 18.84 ± 0.65 mm postoperatively ( p < 0.01), and lower fornix depth was 2.69 ± 0.42 and 8.78 ± 0.82 mm, respectively ( p < 0.01). Lower lip deformity occurred in one case. Conclusion: A custom-made conformer wrapped in lower oral mucosa was a safe and effective grafting material. The grafts can be effectively used in the reconstruction of severely contracted socket and lead to good cosmetic outcomes.

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

2012 ◽  
Vol 14 (1) ◽  
pp. 124-127 ◽  
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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