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.
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.
Comparison Between Custom Made And Stock Eyes
| 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 |
Indication For Ocular Prosthesis
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Status post enucleation |
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Status post evisceration |
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Physical eye |
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Atrophic bulbi |
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Corneal scar |
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Congenital anophthalmia /microphthalmia |
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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. |
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.
Maintenance of prosthesis:
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Wash hands before handling the prosthesis |
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The shells can be worn continuously |
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It has to be cleaned once a day with clean water, dried and worn. |
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Precaution should be taken to reduce scratches |
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Eye lubricants can be used to increase the lid movements and closure. |
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Polishing must be done once a year. |
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