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Fitting a prosthesis over phthisis bulbi or discolored blind eyes
Advances in Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1990
Summary
Fitting an ocular prosthesis over a phthisis bulbi or discolored blind eye offers a cosmetic and psychological improvement. This non-surgical approach avoids enucleation or evisceration, maintaining orbital integrity and accelerating patient rehabilitation.
Area of Science:
- Ophthalmology
- Prosthodontics
Background:
- Phthisis bulbi and discolored blind eyes significantly impact patient cosmesis and psychological well-being.
- Surgical options like enucleation or evisceration carry risks and complications.
- Ocular prosthesis fitting offers a non-surgical alternative for improving appearance.
Purpose of the Study:
- To evaluate the efficacy of fitting an ocular prosthesis over phthisis bulbi or a discolored blind eye.
- To assess the impact on cosmetic appearance and psychological well-being.
- To present a non-surgical alternative to enucleation or evisceration.
Main Methods:
- Fitting custom ocular prostheses over residual globes with phthisis bulbi or discoloration.
- Assessing prosthetic fit, comfort, and aesthetic outcomes.
- Evaluating patient satisfaction and psychological impact post-fitting.
Main Results:
- Ocular prosthesis fitting successfully improved cosmetic appearance.
- Patients reported enhanced psychological well-being.
- The procedure maintained periocular tissue integrity, reducing fitting complications.
- Prosthetic fitting served as a successful alternative to enucleation/evisceration.
Conclusions:
- Fitting an ocular prosthesis is a positive and successful approach for patients with phthisis bulbi or discolored blind eyes.
- This method enhances cosmesis, maintains orbital anatomy, and accelerates rehabilitation.
- It offers a minimally disruptive alternative to surgical globe removal.