A Novel Method for the Management of Anophthalmic Socket

Abstract

An orbital defect causes severe facial asymmetry and disfigurement that result in an immense emotional trauma to the patient and is also associated with economic, esthetic, and psychological problems. A prosthetic replacement is the treatment of choice in helping individual to return to his normal life by producing an acceptable and lifelike appearance. This case report describes the critical areas of fabrication of ocular prosthesis for a patient with missing right eye due to trauma to eye ball in an accident. Patient had given a history of surgical enucleation of the eye 15 days after ocular trauma. A polymethyl methacrylate ocular prosthesis was planned. The technique described in this case report presents the use of both custom-made and stock eye shell in an attempt to include the benefits of both. A novel attempt was made to simulate eye movements and exact color matching to that of contralateral eye to provide a better and functional ocular prosthesis to the patient.

Individual impression technique by using functional method on the custom ocular prosthesis: a case report

“…Meanwhile, stock ocular prosthesis available in standard sizes, shapes, and colors and they can be used for interim or postoperative purposes. 13,14 Enucleation involves removal of the eyeball proper and leads to an enophthalmic socket with a shrunken eye, which has a crippling effect on patient's emotional and social life. 8 A contracted socket with inadequate superior and inferior fornices, with palpebral fissures of unique size and shape and with inadequate anterior-posterior socket depth presents with numerous retention and cosmetic complications.…”

Acquired Anophthalmic Socket: Clinical Course and Treatment Options

“…The physician and patient should discuss the patient's expectations, symptoms, related difficulties, and long-term follow-up schedule. 8 The maintenance of a prosthesis should be discussed where applicable. The clinical examination should determine the extent of the adnexal deformities, including the eyelid length and position for upper eyelid ptosis or lower eyelid retraction, lash position for lash ptosis, condition of the conjunctival cul-de-sacs ruling out contracted socket, lacrimal system patency, and orbital volume with facial symmetry.…”

“…The evaluation begins with a thorough history, as in any other disease status. The physician and patient should discuss the patient’s expectations, symptoms, related difficulties, and long-term follow-up schedule 8 . The maintenance of a prosthesis should be discussed where applicable.…”