Abstract

An ocular defect may follow removal of a part or an entire orbit that results in visual impairment as well as esthecially and psychologically handicapped. Loosing eye is trauma not just to the patient but also for the family members. Restoring an ocular defect bring backs esthetics but also the confidence that has been lost. Rehabilitation is also very important as this also preserves the contour of remaining structure. Different materials can be used for ocular defects rehabilitation like silicone or acrylic. This is a case report of a patient with a ‘pthisicial eye’ and mainly focussed on the fabrication of an ocular prosthesis. Keywords: Enucleation, Ocular, Prosthesis, Scleral Shell.

Highlights

  • Defect can be after trauma, tumour or congenital absence, sometimes infection are the main causes of such defects

  • Defect can cause loss of vision as well we esthetically handicapped. 1–3 surgical procedure which may include en bloc removal, exenteration or enucleation of only the eyeball. 1,2,4–8 prosthetic eye replacement can prove beneficial for such patients

  • Select acrylic ocular impression tray or old conformer according to the fit of the socket .Patient needs to be be relaxed position to drape the natural contours of the tissues of the socket

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Summary

Introduction

Defect can be after trauma, tumour or congenital absence, sometimes infection are the main causes of such defects. A multidisciplinary approach including a prosthodontist, ophthalmologist, surgeon and are made to fit precisely the confines the contour of ocular socket of the patient. It replaces the sclera, Iris and sclera maxillofacial prosthetist should be considered for an esthetic and stable outcome. 2,5–7 Prosthetic eye matched according to contralateral eye. Iris and sclera maxillofacial prosthetist should be considered for an esthetic and stable outcome. It maintains the esthetics and protects eye cavity from infections. Technique explained here is step by step procedure for the fabrication of an ocular defect. Technique explained here is step by step procedure for the fabrication of an ocular defect. 2,5,6

Case Report
Impression tray selection
Impression
Making a stone model
Making a wax pattern
Attaching the iris
Discussion
Conclusion
Full Text
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