The Ocular Prosthesis
service at Sankara Nethralaya is a Referral
Department of Oculoplasty, for the management
of patients with eviscerated, enucleated socket
and physical eye. These problems are managed
cosmetically by prosthesis.
Definition of prosthesis:
It is an artificial part supplied to remedy
a deficiency. e.g. leg, teeth, eye etc.
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Types Of Ocular Prosthesis:
Customized Prosthesis: Preparing
eye shells for the patients according to their
socket dimensions.
Stock Eyes: Ready made eye
shells that are available in the market. |
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Comparison Between Custom Made And Stock Eyes
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| Custom made Prosthesis |
Stock Eye |
| Prepared according to patient's socket measurement |
Readily available in the market |
| Made
of high grade plastic |
Made
of low grade plastic |
| Good
symmetry with other eye |
Poor
symmetry with other eye |
| Better
eye movement with the prosthesis |
Lesser
eye movements with the stock eye |
| Modifications
are possible to solve problems like
Ptosis, proptosis and socket expansion
without surgery |
No
modifications are possible |
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Indication
For Ocular Prosthesis
- Status post enucleation
- Status post evisceration
- Physical eye
- Atrophic bulbi
- Corneal scar
- Congenital anophthalmia /microphthalmia
The patient has to come on OPD basis for fitting custom made prosthesis. It usually takes one to two days for making a custom made prosthesis.
A regular follow up is required once in 3 months in case of children and for adults every 6 months.
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Maintenance
of prosthesis:
- Wash hands before handling the prosthesis
- The shells can be worn continuously
- It has to be cleaned once a day with
clean water, dried and worn.
- Precaution should be taken to reduce
scratches
- Eye lubricants can be used to increase
the lid movements and closure.
- Polishing must be done once a year.
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