Rehabilitation of an Infected Eye with an Acrylic Ball Implant and a Custom made Scleral Ocular Prosthesis

Abstract

This clinical report describes the prosthetic rehabilitation of a patient with corneal abscess with endophthalmitis of the left eye. Infection with a history of trauma resulted in loss of vision but with intact eye ball movements. Cornea excising evisceration was carried out following placement of poly(methyl methacrylate) ocular ball implant. Later custom made scleral prosthesis was fabricated to maintain functional integrity of the socket and to satisfy patient's aesthetic needs.

Maxillofacial Prosthetic Materials -An Update

“…But still, acrylic is a favoured material for maxillofacial prosthesis such as ocular prosthesis and as a base structure for silicone prosthesis. [34][35][36][37][38][39] According to Andreotti AM et al, nano particle incorporation in acrylic resin directly influenced the acrylic resin properties, providing general higher color stability and microhardness values and lower flexural strength values, after accelerated aging 40 .The disinfecting solution used for routine cleansing of the prosthesis can affect the surface roughness and colour of acrylic resins 41,42 Acrylic Copolymers (Palamed, Polyderm): Acrylic copolymers are soft and elastic but has not received wide acceptance because of poor edge strength, poor durability, and degradation when exposed to sunlight. Processing and coloration are difficult.…”

In Vivo Evaluation of Motility on Ocular Prosthesis

“…Mevcut durumun kabullenilmesini kolaylaştıran bu durum sosyal ve psikolojik olarak da rahatlama sağlamaktadır. 1 Oküler protezler hastanın sağlıklı gözü ile renk, şekil, boyut olarak uyumlu olmalıdır. Beklenen uyumun oluşturulmasında, oftalmolojist, plastik cerrah ve maksillofasiyal prostodontistin olduğu multidisipliner bir çalışma gereklidir.…”