Anophthalmic Patient Management with Custom Ocular Prosthesis
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Management of an Anophthalmic Patient by the Fabrication of Custom Made Ocular Prosthesis
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:
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Meenakshi SINGH, Meghanand NAYAK, Jitender SOLANKI, Sarika GUPTA, Anjali SINGH
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Management of an Anophthalmic Patient by the Fabrication of Custom Made Ocular Prosthesis
Year: 2015
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
The loss or disfigurement of bodily parts, particularly the face, deeply affects the psychological and social wellbeing of patients. This is especially true for individuals who have undergone procedures such as enucleation, evisceration, or exteneration of the eye. The primary goal of an ocular prosthesis is to restore the patient's natural appearance, restore confidence, and enhance social acceptability. Custom-made ocular prostheses offer significant advantages over stock eye prostheses, including improved adaptation, better aesthetic matching to the natural eye, and enhanced eye movement. The article provides a detailed account of a case involving the rehabilitation of an enucleated right eye through the fabrication of a custom ocular prosthesis.
Custom Ocular Prosthesis: A Comprehensive Approach
In a case study involving a 25-year-old male patient who had undergone right eye enucleation due to trauma, a systematic approach was adopted for creating a custom ocular prosthesis. The process began with the administration of ophthalmic topical anesthesia to ensure the patient's comfort, followed by making an impression of the ocular defect. This involved using a suitable impression tray and material to capture the eye's natural contours and the functional movements of the patient's eyes. The resulting wax pattern was refined for comfort and aesthetics. After taking precise measurements for the iris and making the ocular disc, the custom prosthesis was created using dental stone and heat-cured acrylic resin. The final touches included painting the iris and sclera, mimicking the appearance of a natural eye to achieve a life-like effect.
Conclusion
The fabrication of a custom ocular prosthesis provides a viable alternative for ocular rehabilitation that can yield optimal functional, aesthetic, and psychological outcomes. While implant-supported prostheses are an option, many patients may find that a custom-made ocular prosthesis is more accessible and effective. These personalized devices help to ensure proper fit and comfort, reduce the risk of complications such as infections, and enhance the quality of life for those affected by ocular loss. Ultimately, a well-designed ocular prosthesis fulfills the important role of restoring not only appearance but also social confidence and acceptance for patients.
FAQ section (important questions/answers):
What psychological impact does losing an eye have on a patient?
The loss or disfigurement of an eye can significantly affect a patient's psychology, leading to issues like low self-esteem and social anxiety. An ocular prosthesis aims to restore natural appearance, boost confidence, and enhance social acceptability for better emotional well-being.
What are the advantages of custom ocular prosthesis over stock prosthesis?
Custom ocular prostheses offer better adaptation, precise color matching, and improved eye movement compared to stock models. They provide more satisfactory aesthetic and psychological results, making them a preferred choice when resources allow.
How is a custom ocular prosthesis fabricated?
The fabrication involves several steps, including creating an impression of the socket, sculpting a wax pattern, and making a dental stone mold. The ocular button is then inserted, and the prosthesis is painted and polished to achieve a lifelike appearance.
What preparations are necessary before inserting a prosthesis?
Before insertion, the finished prosthesis is disinfected using a solution of isopropyl alcohol and chlorhexidine. It is then cleaned with saline to prevent chemical irritation, ensuring that it fits comfortably and moves naturally within the socket.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Anophthalmic Patient Management with Custom Ocular Prosthesis”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
The term 'Table' may refer to a structure used in clinical settings to support patients during procedures. It can also relate to the organization of data, such as the presentation of research findings in a structured format, allowing for easy comparison and analysis of ocular prosthesis methodologies and outcomes.
2) Indian:
In the context of the article, 'Indian' highlights the geographical and cultural aspect of the practice of ocular prosthesis fabrication. It suggests the relevance of local practices, patient demographics, and materials utilized in India, reflecting how cultural contexts influence medical procedures and patient care in ocular health.
3) Kumar:
The name 'Kumar' indicates a contributor or researcher involved in the field of ocular prosthetics. Researchers like Kumar play a vital role in advancing the knowledge, techniques, and applications of ocular rehabilitation, enhancing patients' lives through improved prosthetic designs that mimic natural appearance and function.
4) Painting:
The term 'Painting' describes an essential step in the fabrication of ocular prostheses, where artists apply color to match the natural eye's appearance. This process requires skill and precision, involving layering techniques to achieve a realistic and aesthetically pleasing look that promotes patient confidence and social acceptance.
5) Surface:
In the context of ocular prosthetics, 'Surface' refers to the exterior of the prosthesis that directly contacts ocular tissues. Its design is critical for comfort, hygiene, and aesthetic quality, as it must closely mimic the natural eye's surface to enhance both functional and psychological outcomes for the patient.
6) Filling (Filled):
'Filled' describes the process in which a mold is completely occupied with materials like wax or acrylic during the prosthesis fabrication. This step is crucial for achieving the desired shape, contour, and support of the ocular prosthesis, ensuring it fits well within the patient's socket.
7) Irritation:
'Irritation' relates to potential discomfort patients may experience if ocular prostheses do not fit properly or are constructed using unsuitable materials. Preventing irritation is a key goal in prosthesis design, as excessive friction or fluid accumulation can lead to tissue damage and impact overall quality of life.
8) Meenakshi:
The name 'Meenakshi' signifies an author or contributor to the discussed research or case study related to ocular prosthesis. This individual's work contributes to advancing techniques and addressing challenges in ocular rehabilitation, providing insights into patient care and the psychological effects of facial disfigurement.
9) Cutting:
'Cutting' in this context refers to the precision task involved in shaping materials such as wax or acrylic during ocular prosthesis fabrication. This critical skill requires attention to detail, ensuring that the prosthesis fits accurately, enhancing both comfort for the patient and the aesthetic outcome.
10) Sharman (Sarma, Sharma, Sarman):
The name 'Sharma' indicates an individual likely involved in the research or clinical practice of ocular prosthetics. Contributions from professionals like Sharma are critical in improving methodologies, outcomes, and understanding patient needs, aiding in the development of techniques that lead to better eye prosthesis fabrication.
11) Seat (Seated):
'Seated' refers to the position a patient must take to ensure accurate impressions during ocular prosthesis creation. Proper seating allows for the natural alignment of the eyelids and tissue, ensuring that the prosthesis fits snugly and correctly, which is essential for aesthetic and functional success.
12) Gupta:
The name 'Gupta' represents a researcher or practitioner involved in ocular prosthetic studies. Individuals like Gupta contribute significantly to enhancing clinical practices through research, learning from cases, and improving patient experiences with ocular rehabilitation, ultimately aiming to restore confidence and improve quality of life.
13) Water:
'Water' is a fundamental component in the cleaning and preparation processes in ocular prosthesis fabrication. It is essential for rinsing materials, maintaining hygiene, and preparing surfaces, thus ensuring that the final prosthetic device is sterile, which is crucial for patient safety and comfort.
14) Sela (Shela, Shel, Sel):
The name 'Sela' could signify a contributor or researcher in the field of ocular prosthetics. The work and research contributions of individuals like Sela play a significant role in developing and refining ocular prosthesis techniques and providing advancements in patient care and psychosocial impact assessments.
15) Seth:
The name 'Seth' likely pertains to a researcher or practitioner involved in ocular prosthetics. Contributions from professionals like Seth are vital for continuous improvement in ocular rehabilitation practices, focusing on both functional design and aesthetic outcomes for patients who have lost ocular structures.
16) Post:
'Post' refers to the outcomes or status after ocular prosthesis placement. This is crucial in evaluating the effectiveness of the prosthetic design, ensuring that it meets the aesthetic and functional needs of patients, along with the vital psychological aspects associated with facial disfigurement.
17) Life:
'Life' emphasizes the significant impact of ocular prosthesis on a patient's quality of life. A well-fitted and naturally appearing prosthesis helps in restoring social interactions, self-esteem, and overall well-being, making it essential for practitioners to prioritize patient-centric designs during rehabilitation.
18) Disfigurement:
'Disfigurement' refers to the loss or alteration of facial features, particularly around the eye area. It has profound psychological and social implications for individuals, often necessitating the use of ocular prostheses to restore appearance, boost confidence, and facilitate smoother social interactions post-injury or surgery.
19) Accumulation (Accumulating, Accumulate):
'Accumulation' in this context relates to the potential buildup of fluids in the ocular socket. Preventing this accumulation is important, as it can lead to complications like infections or discomfort. Effective prosthesis design helps maintain proper socket conditions and supports overall eye health.
20) Surrounding:
'Surrounding' refers to the tissues and structures adjacent to the ocular prosthesis. Understanding this aspect is crucial for creating a prosthesis that integrates seamlessly with the surrounding anatomy, ensuring comfort, aesthetic appeal, and maintaining the health of periocular tissues during the healing process.
21) Measurement:
'Measurement' is a critical process in ocular prosthesis fabrication, ensuring that various dimensions like iris size and pupil position are accurately assessed. These measurements are essential for creating prostheses that mimic the natural eye’s appearance and promote proper function and psychological comfort for the patient.
22) Discussion:
'Discussion' implies the analysis and interpretation of the findings and experiences related to ocular prosthetics. This helps practitioners learn from cases, analyze techniques, and understand the emotional and social implications of ocular loss, facilitating better practices and more tailored patient care in rehabilitation.
23) Relative:
'Relative' serves to establish connections in ocular prosthetics, emphasizing the importance of matching the prosthesis with the natural eye accurately. It highlights how relative measurements, like comparing to the opposite eye, are essential for achieving aesthetic harmony and functionality in prosthetic designs.
24) Nature:
'Nature' relates to the inherent characteristics or qualities that ocular prosthetics should possess. This includes a realistic appearance, material biocompatibility, and functionality to simulate natural eye movements, underscoring the importance of mimicking the natural state to enhance patient acceptance and emotional well-being.
25) Psyche:
'Psyche' underscores the psychological aspect of losing an eye and the role of ocular prosthetics in restoring self-esteem. A well-designed prosthesis can help alleviate feelings of inadequacy or social anxiety in patients, highlighting the importance of psychosocial support alongside physical rehabilitation.
26) Roman (Roma):
'Roman' suggests historical practices in ocular prosthetics. Early examples from Roman and Egyptian civilizations show the evolution of artificial eye design. Understanding these historical contexts enriches current practices and emphasizes the ongoing quest for improved aesthetics and functionality in modern ocular prosthetics.
27) Ivory:
'Ivory' represents the traditional materials used in early ocular prosthesis. Its use highlights the historical transition in material science, where craftsmanship in creating realistic prosthetic eyes has evolved, leading to modern materials that produce better aesthetic results and patient comfort without compromising functionality.
28) Blood:
'Blood' emphasizes the biological aspect and underlying health considerations in ocular prosthesis. The mention of 'blood vessels' in the context of prosthetics connects to the importance of mimicking natural eye features to enhance realism and emotional connections for patients adjusting to their new prosthetic eyes.
29) Gold (Golden):
'Gold' pertains to ancient materials utilized in ocular prosthetics, signifying early efforts to create eye replacements. This reflects the journey toward advancements in artificial eyes, showcasing how historical practices laid the foundation for modern techniques that prioritize both aesthetics and functionality in ocular rehabilitation.
30) Male:
'Male' indicates the gender of the patient involved in the case study presented in the article. Gender can influence patient expectations, psychological responses to facial disfigurement, and the social implications of wearing an ocular prosthesis, highlighting the need for personalized approaches in ocular rehabilitation.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Anophthalmic Patient Management with Custom Ocular Prosthesis’. Further sources in the context of Science might help you critically compare this page with similair documents:
Functional Movement, Disinfection process, Acrylic resin, Prosthetic Rehabilitation, Dental Stone, Aesthetic result, Psychological results.
Concepts being referred in other categories, contexts and sources.
Natural appearance, Irregularities.