Risk of breakage of cryolite glass prosthetic eyes

Rokohl, Alexander C.; Trester, Marc; Pine, Keith R.; Heindl, Ludwig M.

doi:10.1007/s00417-018-4155-x

Cited by 11 publications

(7 citation statements)

References 5 publications

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“…The 7-item generalized anxiety disorder (GAD-7) scale is a validated, reliable, and efficient measurement tool for GAD screening and assessing its severity in clinical practice and in research [34]. The GAD-7 scale classifies 4 levels of anxiety severity: none (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), and severe (15)(16)(17)(18)(19)(20)(21) [34].…”

Section: Methodsmentioning

confidence: 99%

“…Most psychological studies regarding prosthetic eye wearers focused on concerns of anophthalmic patients or quality of life-affecting issues in this ordinary population [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. The eye loss itself, a potential malignant eye disease, the health of the fellow eye, potential discharge at the anophthalmic socket, dry socket symptoms, altered visual perception, and changes of the appearance have been already reported as relevant life-affecting and distress-causing factors [1-7, 13-18, 21-23].…”

Section: Introductionmentioning

confidence: 99%

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Anxiety and depression in patients wearing prosthetic eyes

Heindl

Trester²,

Guo

et al. 2020

Graefes Arch Clin Exp Ophthalmol

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Purpose To investigate anxiety and depression levels in prosthetic eye-wearing patients using standardized psychometric instruments, to define factors associated with these psychological diseases, and to identify a potential healthcare gap. Methods A total of 295 prosthetic eye wearers were screened using the 7-item generalized anxiety disorder scale (GAD-7) and the 9-item patient health questionnaire (PHQ-9). Scores of GAD-7 and PHQ-9 were correlated with scores of general physical and mental health functioning, vision-related quality of life, appearance-related distress, appearance-related social function, and further biosocial factors. Results Five patients (2%) had a pre-diagnosed anxiety disorder, and 20 patients (7%) had a pre-diagnosed depression. However, our screening revealed 26 patients (9%) with anxiety symptoms, 31 patients (11%) with depression symptoms, and 40 patients (14%) suffering from both anxiety and depression symptoms. This underdiagnosing for both anxiety and depression disorders was significant (p < 0.001, respectively). Higher GAD-7 scores were significantly associated with higher PHQ-9 scores, lower appearance-related social function, lower mental health functioning, and female gender (p ≤ 0.021, respectively). Higher PHQ-9 scores were significantly associated with lower physical and mental health functioning, higher educational degree, and nontraumatic eye loss (p ≤ 0.038, respectively). Conclusions Anxiety and depression disorders seem to be underdiagnosed in prosthetic eye wearers and to have higher incidence compared with the general population. Therefore, a psychometric screening should be routinely implemented in the clinical care. For a successful long-term rehabilitation, integrated care by a multidisciplinary team including ophthalmic plastic surgeons, ophthalmologists, ocularists, general practitioners, and psychologists is essential.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anxiety and depression in patients wearing prosthetic eyes

Heindl

Trester²,

Guo

et al. 2020

Graefes Arch Clin Exp Ophthalmol

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“…The painted prosthesis is made from the same PMMA as the conformers. PMMA is a very durable material, and there are no restriction in the child's activity with regard to the prosthesis (Rokohl et al 2019a).…”

Section: Discussionmentioning

confidence: 99%

Children and young adults with anophthalmia and microphthalmia: Diagnosis and Management

Najim

Topa

Jugård

et al. 2020

Acta Ophthalmologica

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Purpose Congenital anophthalmia (A) and microphthalmia (M) are rare developmental defects, which could be isolated or syndromic. Our objective was to describe a cohort of children and young adults with A/M treated with ocular prosthesis, emphasizing clinical features, diagnosis, treatment, and follow‐up. Methods Eighteen individuals (10 female) with unilateral A (n = 3) and M (n = 15) with a mean age of 9.5 years (range 0.8–31.8) and treated with ocular prosthesis were included. Data on medical history, clinical examinations and management of ocular prosthesis were collected. Genetic screening with microarray and whole‐exome sequencing targeting 121 A/M‐related genes was performed. Results A/M appeared isolated (seven cases) or as part of a syndromic condition (11 cases). In 4/16 patients, mutations were detected in TFAP2A, CHD7, FOXE3 and BCOR‐genes. In one patient, a possibly causal microdeletion 10q11 was shown. Associated ocular anomalies such as cataract and cysts were found in 16 (89%) of the A/M eyes, and in nine (50%) ophthalmological findings were found in the fellow eyes. The median ages at which the conformer and ocular prosthesis first were initiated were 7.8 months and 1.5 years. 16/17 patients fulfilled satisfactory orbital growth and cosmetic results when treated with ocular prosthesis from an early age. Conclusion Based upon our findings, a multidisciplinary approach, including genetic assessment, is necessary to cover all aspects of A/M. Imaging, ultrasound and visual evoked potentials should be included. Early management is crucial for the outcome, in terms of non‐ocular findings, vision in the fellow eye, and for facial cosmetic development.

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“…Cryolite glass is still commonly used in Germany, Austria and Switzerland; although the mean reported rate breakage of these prostheses is low, protective glasses are recommended at all time. 8 Watering, crusting, and discharge show no significant differences among patients wearing different types of prosthesis. 9 However, patients wearing a cryolite glass prosthesis older than 9 months appear to benefit from a prosthesis replacement, as mechanical irritation increases with age-related hydrolytic surface changes of the prosthesis.…”

Section: Anophthalmic Socket Syndromementioning

confidence: 91%

Section: Anophthalmic Socket Syndromementioning

confidence: 99%

Anophthalmic Socket Syndrome: Prevalence, Impact and Management Strategies

Quaranta‐Leoni¹,

Fiorino²,

Quaranta‐Leoni³

et al. 2021

OPTH

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Anophthalmic socket syndrome determines functional deficits and facial deformities, and may lead to poor psychological outcomes. This review aims to comprehensively evaluate the features of the syndrome, based on literature review and authors’ clinical and surgical experience. An electronic database (PubMed,MEDLINE and Google Scholar) search of all articles written in English and non-English language with abstract translated to English on anophthalmic socket syndrome was performed. Data reviewed included demographics, presentations, investigations, management, complications and outcomes. Different types of orbital implants were evaluated; the management of implant exposure was examined; different orbital volume enhancement procedures such as secondary implantation, subperiosteal implants and the use of fillers in anophthalmic patients were described; the problems related to socket contraction were outlined; the treatment options for chronic anophthalmic socket pain and phantom eye syndrome were assessed; the most recent advances in the management of congenital anophthalmia were described. Current clinical evidence does not support a specific orbital implant; late exposure of porous implants may be due to pegging, which currently is seldom used; filler absorption in the orbit appears to be faster than in the dermis, and repeated treatments could be a potential source of inflammation; socket contraction results in significant functional and psychological disability, and management is challenging. Patients affected by anophthalmic socket pain and phantom eye syndrome need specific counseling. It is auspicable to use a standardized protocol to treat children affected by clinical congenital anophthalmia; dermis fat graft is a suitable option in these patients as it helps continued socket expansion. Dermis fat graft can also address the volume deficit in case of explantation of exposed implants and in contracted sockets in both children and adults. Appropriate clinical care is essential, as adequate prosthesis wearing improves the quality of life of anophthalmic patients.

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Risk of breakage of cryolite glass prosthetic eyes

Cited by 11 publications

References 5 publications

Anxiety and depression in patients wearing prosthetic eyes

Anxiety and depression in patients wearing prosthetic eyes

Children and young adults with anophthalmia and microphthalmia: Diagnosis and Management

Anophthalmic Socket Syndrome: Prevalence, Impact and Management Strategies

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