Loss of an eye or a disfigured eye has a far-reaching impact on an individual's psyche'. Additionally it affects one's social and professional life. Cosmetic rehabilitation with custom made prosthetic devices gives such individuals professional and social acceptance and alleviates problems. This article aims at enhance awareness of the cosmetic benefits of custom designed ocular prosthesis. Ocularistry, the science of making ocular prosthesis, has undergone phenomenal growth in recent times. Ocularistry is fast evolving in India. "Ocularist" is the skilled individual involved in fabricating the ocular prosthesis.

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A change of prosthesis is required between 18-26 months following prosthesis placement in children. Over an average of 18 months, a change in the prosthesis was required in 41%, with the youngest age group having the highest exchange rate (47%), and the oldest group the lowest (29%).

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Spherical rigid gas-permeable lenses are a good option for patients even with advanced PMCD. In patients with astigmatism of less than 10D, a lens with a base curve of 6.0 to 7.0 mm and a diameter of 8.0 to 9.5 mm seems to be a good initial lens for trial, and for patients with astigmatism of more than 10D, a lens with a base curve of 7.0 to 7.5 mm and a diameter of 10.0 to 10.5 mm seems to be a good initial lens.