Custom made ocular prosthesis: A case report

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.

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

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.

Profile of Custom Ocular Prosthesis Users in a Tertiary Eye Care Centre in Nepal

Objective: To analyze the profile of custom ocular prosthesis users in Nepal. Methodology: This was a retrospective study done at Drishti Eye Care System, Nepal from January 2019 to June 2019. One eyed subject who used custom prosthesis for minimum of 6 months or above of any age group were recruited in the study. Information regarding laterality, cause of loss of eye, reason for opting ocular prosthesis and source of information regarding ocular prostheses were collected from the participants. A set of questions were asked to the participants through telephonic interview after the duration of 3 to 6 months wear of ocular prosthesis to collect information on any symptoms after the wear. Results: Mean age of subjects in the study was 31.35±16.59 years (range 1.5 years – 78 years), 46.7% (n=14) were male and 53.3% (n=16) were female. Trauma was the most common cause of loss of the eye in 43.3% (n=13), followed by congenital loss and eye infections in 16.7% (n=5). 43.3% (n=13) of the subjects had lost their right eye and 56.7% (n=17) subjects had lost their left eye. 33.3% (n=10) of the subjects didn’t have any symptoms with the use of prosthesis. Milder form of symptoms like small appearance, mild discharge and pain were major complaints after the wear. Conclusion: There is a need of best prosthetic rehabilitation for the anophthalmic patients.

Custom made ocular prosthesis for acquired eye defect:Adefinitive option of rehabilitation

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

Custom Ocular Prosthesis for Enucleated Eye: A Case Report

The unfortunate loss or absence of an eye may be caused by a congenital defect, irreparable trauma, tumor, sympathetic ophthalmia, or the need for histologic confirmation of a suspected diagnosis. Early rehabilitation with suitable prosthesis is recommended to 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.