Custom-made Ocular Prosthesis Research Articles

Challenging Management in Work-Related Eye Injuries: A Case Report of Steam Boiler Explosion-Induced Open Globe Injury

Introduction : Work-related eye injuries (WREIs) are major health problems leading to vision loss worldwide. In this study, we reported a case of WREIs from blast injury caused by a steam boiler explosion
 Case Illustration : A 55-year-old male, laundry worker presented to the emergency unit with pain, bleeding, and sudden vision loss in the left eye, 8-hours after a blast injury from steam boiler. He was conscious with normal vital signs. He had lacerations to his left eyelid, frontal, and temporoparietal. Ocular examination revealed a visual acuity of no light perception, full-thickness laceration of the lower eyelid and inferior canalicular, diffuse subconjunctival hemorrhage, corneoscleral laceration with choroidal expulsion, and active bleeding. On investigation, B-scan ultrasonography revealed vitreous hemorrhage and CT scan showed no orbital fracture. He underwent evisceration, eyelid reconstruction, and lacrimal canaliculi repair surgery under general anesthesia and planned to custom-made ocular prosthesis.
 Discussion : WREIs include eyeball injuries, eye adnexa injuries, eyelid lacerations, and orbital wall fractures that occur during work-related activities. The incidence of WREIs is higher in men aged 20-40 years. In this case, the patient presented with an open globe injury resulting in sudden vision loss, requiring urgent surgical intervention to prevent further complications. Ocular prostheses can provide acceptable aesthetics and improve the patient's quality of life by helping them to integrate into society.
 Conclusion : WREIs can lead to permanent vision loss and require urgent surgical intervention. Employers must prioritize workplace safety by providing adequate training and appropriate eye protection such as safety goggles to minimize the risk of eye injuries.

A technique for iris disk positioning on a custom ocular prosthesis.

Various techniques have been described for the rehabilitation of ocular defects with ocular prostheses to restore lost anatomical structures and correct cosmetic defects. This article describes a technique for optimizing the position of an iris disk over a custom-made ocular prosthesis, by using eyeglasses with customized graph paper pattern lenses. It presents a simplified method that will be useful for people with ocular defects in remote and distant service areas with limited resources.

An Innovative Technique for Fabricating a CustomMade Ocular Prosthesis in a Pediatric Patient: A Case Report

An Innovative Technique for Fabricating a CustomMade Ocular Prosthesis in a Pediatric Patient: A Case Report

Retentive ocular prosthesis restores post evisceration patients’ physical and psychological

Loss of eye does not only affect facial esthetics but also psychological health of the patient and leads to social disa-bility. A custom-made ocular prosthesis is a good alternative to promote physical, psychological and esthetically plea-sing appearance that can improve social acceptance of the patient. A 5-years-old female patient and 18-years old male patient were reported to Dental Hospital USU with the chief complaint of loss of an eye, making them often in-sulted by schoolmates, while the male patient lost confidence on socializing around. In these cases, ocular prosthe-ses with modification of custom tray was made by using a putty index obtained from wax pattern to produce a better fitting ocular prosthesis so it expected to be retentive as to produce comfort and increase patient confidence. Con-tact between ocular prosthesis and tissue bed is necessary to evenly distribute the pressure obtained with proper im-pression technique. This technique ensures a good fit of the custom tray thereby produce accurate adaptation to the tissue surface can increase the movement of the prosthesis and provide a good natural esthetic outcome. Post evi-sceration patients need psychological support to restore confidence and self-esteem in today's cosmetics challenging world. For these cases, patients’ self-confidence was restored and socializing as before without any embarrassment.

Modified Impression Technique of a Custom Made Hand Painted Iris For an Ocular Prosthesis: A Case Report

The enucleation of the eye due to variety of causes such as trauma, tumor and severe eye disease or infection has resulted to permanent defect of sight and aesthetic. Defects of the eye may include removal of a part of or the entire orbit which has affected patient’s psychology. Restoring the defect with pre-fabricated or custom-made ocular prosthesis will restore aesthetics and improves patient’s social confidence. This is a case report of construction a custom-made; hand painted iris of ocular prosthesis on a patient with missing left eye due to trauma using modified impression method. The case describes the process of constructing the custom-made ocular prosthesis with modification of impression technique to improve accuracy and fitting. It is aim to highlight the importance of custom-made prosthesis as compared to pre-fabricated ocular prosthesis on its property, fitting to eye socket, hygiene and aesthetic satisfaction.

Adhesive Retained Ocular Prosthesis - “Correcting Defects Providing Quality Life”: Clinical Case Series

Ocular defects are usually due to maxillofacial trauma. This causes an alteration of facial appearance and aesthetics. Apart from psychological trauma to the patient, it interferes with the normal life. Hence correcting such defects with prostheses can get back the individual to normal social life. A prosthetic eye is an answer for these defects. It can help in improving the appearance of the defective eye socket Even though it cannot restore vision, it gives normal appearance for the patient and mental support to a great extent. Adjusting to the ocular prosthesis can be really challenging both mentally as well as physically. This article describes the fabrication of custom-made ocular prostheses retained by adhesives in a series of cases where patients have lost their eyes due to trauma. Keywords: Eye prosthesis, Ocular Prosthesis, Custom eye prosthesis, Adhesive retention.

Custom-made caliper for pupil alignment of ocular prosthesis

For patients who have lost an eye as a result of trauma or carcinoma, accurate replacement with an ocular prosthesis that is symmetrical to the natural eye is essential. Rehabilitation of a missing eyeball with an ocular prosthesis is a technique that has a significant role in the field of maxillofacial prosthetics, which improve facial esthetics, physical, psychosocial, and mental well-being of the patient. An ocular prosthesis can be either prefabricated or custom made. Prefabricated ocular prostheses come in a range of standard sizes, contours, forms, and colors. A 60-year-old female reported with a chief complaint of ill-fitting eye prosthesis, which was given 10 years back. On review of the stock eye prosthesis, it was found that the iris and sclera color failed to match with the contralateral eye and improper fit. The treatment plan was decided for a replacement of old stock eye prosthesis with a custom-made ocular prosthesis. The present case report was different from the previous data on the custom-made prosthesis, which was fabricated using various techniques. This case report describes a method for recording the width and height of the original iris more accurately using the Hanau technique and transferring it to the prosthetic eye of the patient. The technique described in this case report is an easy and cost-effective method which meets the technical requirements of the clinician and results in a more esthetically pleasing and accurate prosthetic outcome.

OCULAR PROSTHESIS AN ASSURED TREATMENT MODALITY FOR EARLY AESTHETIC REHABILITATION OF AN ENUCLEATED EYE SOCKET IN A CHILD PATIENT -A CASE REPORT

The loss of an eye in a child patient has a psycho-logical impact on the growth and social acceptance. Replacement of the lost eye as soon as possible is necessary in such cases to enable the patient to cope better with the difficult process of rehabilitation. Here is a ten-year old child patient, who had undergone enucleation of her right eye due to carcinoma. After the enucleation patient was not using any prosthesis for a period of five years. Hence, initially the enucleated eye socket was restored with a modified stock ocular prosthesis followed by its replacement with more definitive custom-made ocular prosthesis. Thus, emphasizing that, cosmetic rehabilitation with the help of ocular prosthesis of an appropriate size, colour and contour can prove to be of value functionally as well as aesthetically. The prosthetic eye promotes physical and psycho-logical healing for the child patient and improves the social acceptance.

Custom-made Ocular Prosthesis for Rehabilitation of Missing Parts of the Face: A Case Report

Background. Eyes are an important component of the face and vital organs of vision. Eye loss can be caused by congenital defects, trauma, or tumor. Loss of an eye produces physical abnormalities that pose a psychological burden on the patient, as well as visual function damage. An ocular prosthesis is an artificial maxillofacial prosthesis to replace the lost eye.
 Case summary. A 54-year-old man consults at the Prosthodontics Specialist Universitas Airlangga Dental Hospital for an eye prosthesis. The patient did not have the right eyeball since birth. Soft tissue around the eye is normal, including the palpebral muscles.
 Case management. An impression was made using a custom tray and alginate in the defect area, followed by filling the impression with gypsum type 3 to get a working model, from which a wax model is made and adjusted to the patient. After that, sclera and ocular acrylic prostheses are made on the basis of an adjusted wax model. The prosthesis is then polished and colored according to the contralateral eye. Then the prosthesis is delivered to the patient.
 Conclusion. The hollow custom-made eye prosthesis can be considered in the treatment of anophthalmia. It is able to improve the patient's psychological and emotional status.

Rehabilitating an Ocular Defect with a Custom Made Ocular Prosthesis: A Clinical Report

An ocular prosthesis is a replacement of the ocular part of the eye in patients due to trauma, benign ormalignant lesion or congenital anomaly, there is the loss of the eye. Prosthetic rehabilitation with a customizedocular prosthesis that is proportioned and similar in appearance to that of the contralateral natural eye isneeded. This maintains the volume of the orbital socket and also helps create an illusion of the presence ofa healthy eye. It provides the individual confidence to adapt to a normal lifestyle and prevent them fromgoing into psychological distress. Various techniques have been advocated for the fabrication of the ocularprosthesis comprising the use of the stock prosthesis, custom made prosthesis and micro-implants for therehabilitation of the ocular part of the eye. A cosmetically approvable and pleasing ocular prosthesis arethose which reproduces the colour, appearance and orientation of the iris to that of the contralateral naturaleye. This clinical report describes a simple, economical and time-saving method for the fabrication of thecustomised ocular prosthesis in a patient with the ocular defect.

Prosthetic Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review

This study's objective is to assess the current scientific evidence on the use of prosthetic rehabilitation of patients with ocular defects using the conventional technique. Electronic PubMed and Google Scholar searches were conducted to identify relevant articles from January 2015 until December 2019, focusing on rehabilitation of patients with ocular defects. There are 790 journals explained about this, with 80 articles met the inclusion criteria for the articles. They yielded 790 articles. A total of 80 studies were met inclusion criteria, with 315 patients as subjects. All of the studies were conducted in the past 5 years, and most conducted in Asia (75), followed by South America (3), Europe, and Africa (1). Most of the studies were using fabrication ocular prosthesis custom made, with 3 studies used stock ocular prosthesis and 16 studies used stock custom. There were 87,94% of studies used fabrication ocular prosthesis custom made. The aesthetic aspect of the custom-made ocular prosthesis was far better than the stock ocular prosthesis. It also a simple and cost-effective method and results in a more esthetically pleasing and accurate prosthetic outcome. How to Cite this Article Pubmed Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari. Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review. SRP. 2020; 11(9): 20-25. doi:10.31838/srp.2020.9.05 Web Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari. Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review. http://www.sysrevpharm.org/?mno=127034 [Access: March 29, 2021]. doi:10.31838/srp.2020.9.05 AMA (American Medical Association) Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari. Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review. SRP. 2020; 11(9): 20-25. doi:10.31838/srp.2020.9.05 Vancouver/ICMJE Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari. Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review. SRP. (2020), [cited March 29, 2021]; 11(9): 20-25. doi:10.31838/srp.2020.9.05 Harvard Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari (2020) Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review. SRP, 11 (9), 20-25. doi:10.31838/srp.2020.9.05 Turabian Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari. 2020. Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Reviews in Pharmacy, 11 (9), 20-25. doi:10.31838/srp.2020.9.05 Chicago Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari. Prosthetic Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review. Systematic Reviews in Pharmacy 11 (2020), 20-25. doi:10.31838/srp.2020.9.05 MLA (The Modern Language Association) Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari. Prosthetic Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Review. Systematic Reviews in Pharmacy 11.9 (2020), 20-25. Print. doi:10.31838/srp.2020.9.05 APA (American Psychological Association) Style Vinsensia Launardo, Rifaat Nurrahma, Rezki Wahyuni Syamsuddin, Acing Habibie Mude, Bashiera Ika Sari (2020) Rehabilitation of Patient with Ocular Defects using Conventional Technique: A Systematic Reviews in Pharmacy, 11 (9), 20-25. doi:10.31838/srp.2020.9.05

Prosthetic rehabilitation of a patient with an ocular defect using a simplified approach: A case report

The disfigurement associated with eye loss can cause significant physical and emotional disturbance. Cosmetic rehabilitation with custom made prosthesis gives such individuals professional and social acceptance and alleviates problems. A case of a custom-made ocular acrylic prosthesis is presented here, which had acceptable fit, retention and esthetics.

A Simplified Approach for Ocular Rehabilitation - A Case Report

Loss of an eye or any body part has an intimidating and crippling effect on the psychosocial well-being of the patient. Although the artificial prosthesis cannot restore the function, it can highly improve the patient’s esthetics and help them regain their psychological confidence. Literature has advocated various rehabilitation modalities including empirical use of stock shells, modifying stock eyes, custom-made ocular prostheses, ocular implants, etc. A custom-made ocular prosthesis, among all the techniques, shows improved adaptation to tissue bed, distributes uniform pressure, provides a more esthetic and precise result, and is relatively cost-effective. This case report explores a relatively comprehensive method of custom ocular prosthesis fabrication for an ocular defect with a satisfactory outcome.

Prosthetic rehabilitation of an ocular defect with custom-made ocular prosthesis: A case report

Ocular prosthesis is artificial replacement of the eye, for patients who have lost an eye as result of trauma or a carcinoma. The loss of an eye can have a physical, social, and psychological impact on the affected person. Prosthetic rehabilitation attempts to restore these disfigurements may improve esthetic, level of function, psychological condition of the patient and ultimately ameliorate the quality of life. This article describes clinical report of rehabilitation of a post ophthalmic enucleation patient with custom made prosthesis using stock eye shell that can create esthetically pleasing result. Keywords: Custom-made, Enucleation, Ocular prosthesis.

Fabrication of custom-made ocular prosthesis using conventional technique

The loss of an eye is an emotional and psychological setback to the patient. An ocular prosthesis is given to uplift the patient psychologically and to boost up patient’s self esteem and their social acceptance in the society. To improve the comfort and matching of the prosthesis with that of the adjacent natural eye a custom made ocular prosthesis is preferred. Ocular prosthesis can be given as stock eye shell or by fabrication of custom-made eye prosthesis by sclera painting. Advantages of custom-made eye prosthesis are well established over stock eye shell so, this article presents a case report of a patient-wearing stock eye shell with poor esthetics, and the same was replaced with custom-made eye prosthesis. Keyword: Pthisis bulbi, Custom made ocular prosthesis.

Study on Ocular Prosthesis for the Rehabilitation Of Patient With Ex-ophthalmic Socket

Background : Among the extra-oral maxillo-facial prosthesis, single ocular prosthesis is one of the important type- which is concerned with the patient’s psychological, emotional status and facial expression. This prosthesis fits over an orbital implant and under the eye-lids. Typically known as glass eye which provides no vision only aesthetics. Ocular prosthesis are made of glass, medical grade plastics, PMMA, silicone, plaster. Ocular prosthesis may be ready-made or custommade. The objective of the study was to compare the ready-made and custom-made ocular prosthesis for providing best rehabilitation of patient with ex-ophthalmic socked (Single).
 Materials and methods: It was a prospective comparative in vivo study carried out Department of Prosthodontics, Faculty of Dentistry, BSMMU, Dhaka from January 2009 to December 2010. 40 patients with single ex-ophthalmic socket were selected from outpatient department considering the inclusion and exclusion criteria. The patients were divided into two groups. In group A 20 patients were given custom-made ocular prosthesis. In group B 20 patients were given ready-made ocular prosthesis, patients were observed clinically and evaluation were done on the day of insertion, after 1 week, 2 week, 1 month, 3 months, 6 months interval.
 Results: The results were evaluated by specific parameter as comfort, aesthetic, movement of the ocular prosthesis during facial expression. After observing the patients it was revealed that custom made ocular prosthesis was better in comfort, aesthetic and movement during facial expression than readymade one.
 Conclusion : This study revealed that custom made ocular prosthesis is better for the rehabilitation of the patient with single ex-ophthalmic socket. Ready made one can be used for a short period of time as a temporary measure.
 JCMCTA 2019 ; 30 (2) : 52-56

Custom-made ocular prosthesis manufactured with permanent soft denture lining material: An alternative method

The eye plays a vital role as one of the six senses in humans. From vision to expression, it has its various functions. The aim of this study was to suggest a technique using soft denture lining material to improve the retention of an ocular prosthesis in a grossly resorbed orbital cavity to minimizes the trauma of thin, atrophic tissue. An ocular prosthesis restores lost anatomical structures and corrects the cosmetic defect. A custom-made ocular prosthesis is a good alternative as soft denture lining material used during the fabrication of scleral part of ocular prosthesis improves patient comfort by acting as a shock absorber and stress distributor, and yields longer duration of wear. A good alternative of a custom-made ocular acrylic prosthesis is presented here, which had acceptable fit, retention, and esthetics. Fabrication of new ocular prosthesis with permanent soft liner is a novel way to minimize trauma to underlying supporting tissues.

Silicone prosthesis: A viable treatment option for rehabilitation of residual ocular defects

Rehabilitation of a residual ocular defect is a challenge for prosthodontists as it needs utilization of favorable anatomical factors and modification of unfavorable conditions so as to meet the triad of form, esthetics, and comfort. During the World War II, the United States Naval Dental and Medical School introduced the use of methyl methacrylate for the fabrication of ocular prosthesis. Since then, it has been widely used in the form of stock eye shell and modified stock shell and for custom-made ocular prosthesis. Medical-grade room-temperature vulcanizing silicone and its various advancements over the years have revolutionized the science of maxillofacial rehabilitation. The use of this material for ocular prosthesis has been underexplored. It exhibits numerous advantages over the age-old poly methyl methacrylate such as absence of monomer, flexibility, and improved esthetics in terms of intrinsic coloration, making it more biocompatible and comfortable for the patient. This case report aims to highlight the fabrication of custom-made ocular prosthesis using medical-grade silicone with emphasis on the use of multi-specialty approach for the selection of the iris and the use of photographic grid for iris placement. Medical-grade silicone has been used successfully for the fabrication of eye prosthesis in animals achieving desirable biological, mechanical, and esthetic goals of the rehabilitation process.

Semi-automated fabrication of customized ocular prosthesis with three\u2013dimensional printing and sublimation transfer printing technology

An ocular prosthesis is a custom-made polymeric insert that can be placed in an anophthalmic socket for cosmetic rehabilitation of patients who have lost their eyes. The process of creating such a custom-made ocular prosthesis is time-consuming and labor-intensive because it involves artistic work that is carried out manually. This paper proposes a novel semi-automated method for fabricating customized ocular prostheses using three-dimensional (3D) printing and sublimation transfer printing. In the proposed method, an impression mold of the patient’s anophthalmic socket is first optically scanned using a 3D scanner to produce a 3D model. The ocular prosthesis is then produced via a digital light processing 3D printer using biocompatible photopolymer resin. Subsequently, an image of the iris and blood vessels of the eye is prepared by modifying a photographed image of the contralateral normal eye, and printed onto the 3D-printed ocular prosthesis using a dye sublimation transfer technique. Cytotoxicity assessments of the base material and fabricated ocular prosthesis indicate that there is no adverse effect on cellular viability and proliferation. The proposed method reduces the time and skill required to fabricate a customized ocular prosthesis, and is expected to provide patients with easier access to quality custom-made ocular prostheses.

Use of an iris disc from stock eye in the fabrication of a custom-made ocular prosthesis – A clinical report

Use of an iris disc from stock eye in the fabrication of a custom-made ocular prosthesis – A clinical report