Novel Method of Management of Pseudoptosis with Ocular Prosthesis

ABSTRACT

Introduction: Surgical removal of eye (enucleation) maycause disfigurement of the empty socket. Ptosis, an importantpost-operative complication, may be seen in Post-enucleationsocket syndrome or occurring alone. When the ptosis occursmainly due to loss of orbital volume, leading to loss of supportand drooping of the upper eyelid, the condition is pseuoptosis.This complicates the rehabilitation process with an ocularprosthesis compromising the cosmetic result. In this article, asimple modification of an ocular prosthesis is made to correctptosis in an enucleated socket with post-enucleation socketsyndrome.Case Report An elderly male patient, suffering from postenucleation socket syndrome of left eye received a modifiedcustom ocular prosthesis. The anterior surface of the prosthesiswas over contoured to effectively position the upper eyelid ina superior position and prevent it from migrating downward.The modified prosthesis satisfactorily corrected the droopingof eyelid, restoring the natural appearance of the lost eye.Conclusion: In case of patients suffering from ptosis/pseudoptosis, a modified ocular prosthesis can replace thelost volume and support the eyelid in superior position, thuscorrecting the ptosis. In this article, a simple modification ofan ocular prosthesis has been demonstrated that rehabilitatesthe lost eye and restores the aesthetic need of a patient withpost-enucleation ocular defect