Prosthetic Rehabilitation of a Pediatric Patient with an Ocular Defect

Abstract

The eye is a vital organ for vision and an important component of facial expression. Loss of an eye has a crippling effect physically and psychologically. Especially, in case of a child where it affects the parent too and the approach toward these special children needs to be very special indeed. The construction of an ocular prosthesis for a child is the same as for an adult. A growing child will require periodic enlargement of the prosthesis in order to accompany the expansion of the anophthalmic cavity and it is the only way to esthetically rebuild the anophthalmic socket. Although implant eye prosthesis has superior outcome, due to economic factors it may not be advisable in all patients. Therefore, an acrylic custom-made ocular prosthesis replacement as soon as possible is a good alternative to promote physical and psychological healing for the patient and to improve social acceptance. A case of a custom fabricated ocular acrylic prosthesis using the advantages of digital photography is presented here, which had acceptable fit, retention and improved esthetics with a certain degree of motility in coordination with the contralateral normal eye.How to cite this article: Nalawade TM, Mallikarjuna RM, Anand BM, Anand M, Shashibhusan KK, Subba Reddy VV. Prosthetic Rehabilitation of a Pediatric Patient with an Ocular Defect. Int J Clin Pediatr Dent 2013;6(1):62-65.

Retentive ocular prosthesis restores post evisceration patients’ physical and psychological

“…The extra effort and time put into fabrication of custommade ocular prostheses has been a boon to patients who cannot afford other alternatives, incluing implants, and ensures a better drape of lid tissues, and provides a superior natural appearance to both patient and the observer. 9 This technique ensure a good fit of the custom tray thereby produce accurate adaptation of the custom ocular prosthesis to the tissue surface can increase the movevement of the prosthesis and provide a good natural esthetic outcome that lead to increase patient's confidence.…”

Long-term outcomes after cosmetic customized prostheses and dermis fat graft in congenital anophthalmia: a retrospective multicentre study

“…This allows children to fit suitable prosthesis, minimizing facial asymmetry, and improving cosmetic appearance. Success or failure of this treatment will affect not only the child's appearance, but also his psychological and social development [31,32]. Nevertheless, to date a widely recognized consensus on the most appropriate management of this condition is still lacking.…”

“…Nevertheless, to date a widely recognized consensus on the most appropriate management of this condition is still lacking. Several strategies have been proposed but none of them succeeded in addressing all aspects of this complex malformation [21][22][23][24][25][26][27][28][29][30][31].…”

“…Tse et al developed a particular orbital tissue expander in 2011, with promising results in terms of bone growth [31]. Nonetheless, the treatment does not include any measure to stimulate conjunctival socket expansion [31].…”

“…Tse et al developed a particular orbital tissue expander in 2011, with promising results in terms of bone growth [31]. Nonetheless, the treatment does not include any measure to stimulate conjunctival socket expansion [31]. Standard conformers by themselves as prosthetic approach or followed by dermis fat graft (DFG) have turned out to be a useful option employed over the years [23].…”