Purpose To report the customized approach of patients with anophthalmia or microphthalmia with bespoke ocular prosthesis. Methods Retrospective analysis of case series. Results The study included cases with anophthalmia with upper eyelid deformity (one patient), microphthalmia and contralateral corectopia (one patient), microphthalmia with contralateral corneal graft (one patient), and congenital clinical anophthalmia with contralateral sclerocornea (one patient). Using techniques of embedded autologous hair and coating of adhesive pigment emulsion in the ocular prosthesis, the physical appearance of, respectively, an upper eyelid, corectopia, corneal graft, and sclerocornea was reproduced. Conclusion Tailoring the ocular prosthesis to the distinct condition of the anophthalmic socket and contralateral eye adds to the success of rehabilitative prosthetic treatment of the patient.
PurposeIn anophthalmos, the ideal ocular prosthesis restores the facial appearance and eye motility, and is comfortable to wear. This can best be achieved with a bespoke prosthesis. The initial step usually involves injection of dental impression material to obtain a mould of the anophthalmic socket. However, the socket impression method distorts the soft tissues, so that additional alterations to the prosthesis are required via the trial and error method. Developing an impression‐free method of the anophthalmic socket.MethodsA cone‐beam CT of the anophthalmic orbit is taken, and with computer‐aided design and computer‐aided manufacturing (CAD/CAM) the anophthalmic socket is printed three dimensionally (3D). The 3D‐printed socket is subsequently used as a trial working prosthesis in the conventional way.ResultsWith this novel technique, a prosthesis was successfully fitted in a 68‐year‐old male who had undergone a recent evisceration.ConclusionsComputer‐aided design and 3D printing can accurately outline the anophthalmic cavity. Validating the impression‐free moulding technique is subjected to further studies.
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