Abstract
ABSTRACTThe eye is a vital organ for vision and an important component of facial expression. Loss of an eye has a crippling effect physically and psychologically. Especially, in case of a child where it affects the parent too and the approach toward these special children needs to be very special indeed. The construction of an ocular prosthesis for a child is the same as for an adult. A growing child will require periodic enlargement of the prosthesis in order to accompany the expansion of the anophthalmic cavity and it is the only way to esthetically rebuild the anophthalmic socket. Although implant eye prosthesis has superior outcome, due to economic factors it may not be advisable in all patients. Therefore, an acrylic custom-made ocular prosthesis replacement as soon as possible is a good alternative to promote physical and psychological healing for the patient and to improve social acceptance. A case of a custom fabricated ocular acrylic prosthesis using the advantages of digital photography is presented here, which had acceptable fit, retention and improved esthetics with a certain degree of motility in coordination with the contralateral normal eye.How to cite this article: Nalawade TM, Mallikarjuna RM, Anand BM, Anand M, Shashibhusan KK, Subba Reddy VV. Prosthetic Rehabilitation of a Pediatric Patient with an Ocular Defect. Int J Clin Pediatr Dent 2013;6(1):62-65.
Highlights
A 12-year-old female child reported to the Department of Pedodontics and Preventive Dentistry with complaint of missing right eye (Fig. 1)
Detailed and careful case history recording revealed that the patient had been diagnosed having retinoblastoma of the right eye and the affected eye had to be enucleated
This article reports a case of 12-years-old female child treated for an eye prosthesis using digital photography following enucleation of the right eye due to retinoblastoma
Summary
Detailed and careful case history recording revealed that the patient had been diagnosed having retinoblastoma of the right eye and the affected eye had to be enucleated. This article reports a case of 12-years-old female child treated for an eye prosthesis using digital photography following enucleation of the right eye due to retinoblastoma. The remaining outer corneal surface was characterized by removing a thin layer of acrylic resin and using professional quality color pencils, scleral blood vessels were drawn along the outer periphery. The space created over the disk and between the reduced outer corneal surface of the globe and the stone matrix of the flasking was packed and processed with clear acrylic resin. The patient was taught to properly insert and remove the appliance and the importance of careful cleansing and handling of the prosthesis was emphasized
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