“A MIRAGE TO THE REAL EYE”- CUSTOM MADE ORBITAL PROSTHESIS

Abstract

The art of reconstruction of the defects by non-living substitutes is the heart of maxillofacial prosthodontia1 . Reconstruction of any facial defect is a challenging task as a clinician. The prevalence of the eye defects has been reported to be about 60%, majority of which have been amongst the males.2 The loss of an eye may be due to a congenital defect,tumour,trauma. Rehabilitation of such complex defects requires a customised approach for the successful outcome of the prosthesis2. Peymen et al. has classified the surgical management of the removal of eye as: evisceration, enucleation and exenteration. Rehabilitation of the orbit with lost volume can be done either by a surgery or with the help of a prosthetic device3 . A craniofacial prosthesis that replaces the eyeball is an orbital prosthesis whereas the one which replaces the surrounding periorbital tissues is an ocular prosthesis. An accurate management for a successful rehabilitation involves a multidisciplinary approach4 This case report presents a practically convenient procedure for the construction of a customised orbital prosthesis that is aesthetically pleasant, retentive, and cost-effective. Here, the management following an enbloc removal of an eye was done using an adhesive retained silicone prosthesis.