International Journal of Clinical Case Reports 2016, Vol.6, No.17, 1-6
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3.1.7 Characterization of sclera bank
With the help of color pencils, the circular area surrounding the iris was, then, colored with a bluish outline and
patches of melanin pigmentation with brown color, to resemble the appearance of natural adjacent eye, were
produced. Red colored microfibers of veined acrylic powder were used to give the appearance of blood capillaries.
(Figure 10; Figure 11)
Figure 10 Characterization of sclera
Figure 11 Characterization of sclera
3.1.8 Final finishing and polishing of the prosthesis and insertion
The image and the surrounding area on the sclera blank was then covered with clear, self-cure acrylic resin
(Trevalon Clear, Dentsply India Pvt. Ltd., Gurgaon, India) and allowed to set. The prosthesis was finally finished
with the help of a carbide bur and a sand paper and polished with a polishing cake to get an even gloss (Figure 12).
Insertion of prosthetic eye was done and the patient was given instructions (Figure 13).
Figure 12 Custom-made ocular prosthesis
Figure 13 Post-op view
3.1.9 Post-Insertion Instructions
Patient was advised to clean the eyelashes on periodic intervals and to keep them free from mucous build-up, to
clean the prosthesis with sterile water and rinse it with saline solution or boric acid solution, to use lubricant
solution, Carmellose sodium, 5 mg/ml (Refresh teardrops) that helps the prosthesis to be kept moist and smooth
and advised review visits with the ophthalmologist for needful (Taylor, 2000). Patient was informed that in time,
the surface of the prosthesis may become scratched or pitted, resulting in foreign body sensation, so, a periodic
follow-up was very important (Cain, 1982).
4 Discussion
Custom-made, ocular prosthesis could be of either glass or methyl methacrylate resin. Glass is not the material of
choice as it is subject to breakage and surface deterioration from contact with the orbital fluids (Artopoulou et al.,
2006). Methyl methacrylate resin is superior to other ocular prosthetic materials in terms of tissue compatibility,
aesthetics, durability, adaptability of form, cost and availability (Brown, 1970; Kumar et al., 2014). The close
