Rehabilitation of a Post-Covid Rhinosinusitis Patient with Exenterated Orbital Defect Using a Self-Retained Silicone Prosthesis - A Case Report

Abstract

A 56-year-old female patient reported to the Department of Prosthodontics for the replacement of right eye. The patient gave a history of covid 1.5 years back and was diagnosed with diabetes for which she was prescribed oral antidiabetic drugs. The patient was apparently alright for 1-year post-covid treatment, after which she noted swelling around the right eye with gradual loss of vision and loss of movement of the right eyeball. It was diagnosed as post-covid acute invasive fungal rhinosinusitis. The patient underwent exenteration for the same.
 On examination, an orbital defect was noted, measuring 3.7cm mediolaterally, 3.5 cm superoinferiorly and with depth of 3.6 cm (measured at deepest point). The floor of the defect was completely healed with no signs of inflammation/ bleeding/ pus discharge, and with mild scarring at the base [Figure 1]. Patient’s written consent was obtained for the use of original photographs for publication.