ABSTRACT
The loss of the facial structures can have a physical, social and psychological impact on those affected .Maxillofacial prostheses which restore and replace stomatognathic and associated facial structures with artificial substitutes, aim to improve the patient aesthetics, restore and maintain health of the remaining structures and consequently provide physical and mental well being. Accurate impressions of these tissues facilitate a close adaptation of the custom prosthesis to the tissue bed resulting in better potential for movement by the patient. Treatment of such cases includes implants and acrylic eye prosthesis. Due to economic factors it may not be advisable in all patients. A custom-made ocular prosthesis is a good alternative. A case of a custom-made ocular acrylic prosthesis is presented here, which had acceptable fit, retention and esthetics.
Subject(s)
Eye, Artificial , Stomatognathic Diseases , Scleral DiseasesABSTRACT
PURPOSE: To show that scleral shells can be good cosmetic prostheses for phthisis bulbi or discolored blind eyes for which no evisceration or enucleation is indicated. METHODS: Twenty patients with phthisis bulbi or discolored blind eyes were enrolled in this study. All patients were using scleral shells. We evaluated any complications induced by the scleral shells and the cosmetic results during the follow-up period. RESULTS: The average central thickness of the scleral shell was 1.84+/-0.26 mm, and the average volume was 1.52+/-0.25 ml. The average difference in palpebral fissure width between the fellow eye and the eye with a fitted scleral shell was 0.8+/-0.62 mm. One patient complained about ocular irritation and difficulty in fitting but was satisfied with the cosmetic appearance. CONCLUSIONS: Fitting scleral cover shells over phthisis bulbi or discolored blind eyes without evisceration or enucleation could be a successful remedy for enhancing cosmetic appearance.