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MSAC - Medical Services Advisory Committee
A technique for fabrication of a custom-made ocular prosthesis has been described. This technique also permits the finished prosthesis to generate an equal distribution of pressure and intimate adaptation to the tissue bed. A properly fabricated custom-made prosthesis enhances the patient's comfort and confidence by increased adaptiveness and natural appearance, and also maintains its orientation when the patient performs various eye movements. The optimum cosmetic and functional results of a custom-made ocular prosthesis enhance the patient's rehabilitation to a normal lifestyle.
A male patient aged 38 years came with the chief complaint of ill-fitting artificial left eye . He had a history of trauma at the age of 25, and the eye was enucleated and a stock prosthesis was given. On examination, the tissue bed was irritated due to ill-fitting prosthesis. So, the patient was advised to discontinue wearing of the prosthesis. After a week, the patient was evaluated for the relationship of palpebral fissure in an open and closed condition, the muscle control of the palpebrae, and the internal anatomy of the socket in resting and in full excursion. There was adequate depth between the fornices, which could be utilized for better retention of the prosthesis. So, it was decided to replace the missing eye with a custom-made ocular prosthesis.
Eyetube: Ophthalmic Surgical Video Resource
An ocular defect may affect a patient psychologically. An ocular prosthesis is given to uplift the patient psychologically and improve the confidence. Ocular prosthesis can be custom made or a stock shell. To improve the comfort and matching of the prosthesis with that of the adjacent natural eye an custom made ocular prosthesis is preferred. Different techniques are available to fabricate a custom ocular prosthesis, here we have used paper iris disk technique.
The finished scleral blank was tried in the patient and middle of the pupil was marked when the patient gazed straight. The size of the iris of the adjacent eye was measured and transferred on to the scleral blank and once again verified. The blank was reinvested to allow final processing of prosthesis after coloring and the location of iris was also transferred to the investment and a scrapper was used to create corneal prominence in the investment. After the investment was set, the scleral blank was retrieved from the flask for corneal painting.
Cleveland FES Center | Ajiboye, A Bolu, PhD
The custom-made ocular prosthesis conforms accurately to the socket as the prosthesis fabrication is based on the existing anatomy of the patient, thus giving benefits of increased adaptation, movement of the eye ball, and the exact match of the iris position as that of the adjacent natural eye.
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