Abstract

The ocular prosthesis functions to repair a loss or deformity of the ocular globe. Prosthetic rehabilitations destined for anophthalmic cavities that suffered cicatricial retraction represent a challenge during fabrication since they often need to be reduced due to atrophy of the cavity and simultaneously need to have a good aesthetic appearance regarding contour and artificial iris. This report describes an unusual ocular prosthetic rehabilitation of a 77-year-old patient with an atrophic anophthalmic cavity due to herpes zoster–induced loss. The steps in the creation of the ocular prosthesis involved cavity impression, artificial iris painting, wax adaptation, and laboratory processing and installation. The treatment focus included: comfort and adaptation during use, satisfactory retention, good aesthetic appearance, and achievement of total eye closure while wearing the ocular prosthesis. There was reestablishment of facial harmony and, consequently, maintenance of the functional and anatomic integrity of the cavity after a follow-up period of 6 months. Support: FAPEMIG.

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