International Journal of Clinical Case Reports 2016, Vol.6, No.17, 1-6
6
adaptation of custom-made prosthesis tends to distribute pressure more equally than does stock eye prosthesis,
thereby, reducing the incidence of abrasions or ulcerations. It, also, enhances tissue health by decreasing potential
stagnation spaces at the prosthetic tissue interface (Benson, 1977; Dyer, 1980; Taicher et al., 1985; Mathews et al.,
2000). A properly-fitted and acceptable custom-made ocular prosthesis also has characteristics like it retains the
shape of the socket defect, prevents collapse and/or loss of shape of the eyelids, provides proper muscular action
of the eyelids, prevents accumulation of fluid in the orbital cavity, maintains palpebral opening similar to the
natural eye and mimics the color and proportions of the natural eye (Taylor, 2000). In this case, a photograph of
the iris of patient’s natural eye was used, so, the time consumed for the characterization of the iris also got
reduced as only sclera blank was characterized, thus, overcoming the only disadvantage of the regular,
custom-made ocular prostheses.
5 Conclusion
This case report demonstrates a simple and innovative technique for the fabrication of custom-made ocular
prostheses in an attempt to avoid the time consuming and expensive procedures that are required in other methods.
An ocular acrylic prosthesis was fabricated using the advantages of digital photography, which had an acceptable
fit, retention and improved aesthetics alongwith a certain degree of motility in coordination with the contra-lateral
normal eye. Thus, an acrylic custom-made ocular prosthesis replacement is a good alternative to promote physical
and psychological healing in such patients and to improve their social acceptance.
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