Light weight prosthesis for a patient with bilateral orbital exenteration--a clinical report

This article describes a case report of a patient with history of bilateral orbital exenteration due to squamous cell carcinoma. Spectacle retained acrylic prosthesis was considered to be the best possible option in this case due to total lack of vision and related manual dexterity.

Main challenge in fabrication of spectacle retained prosthesis is to maintain its adaptation with the tissues during attachment of the screws. So, method of attachment of prostheses with the frame has been discussed in detail. The other concern was the increased weight of the prosthesis and associated discomfort to the patient, as both artificial eyes had to be attached to one frame. Therefore, procedure to reduce the weight of the prosthesis is also discussed.

Successful prosthodontic rehabilitation is based on the selection of most suitable maxillofacial prosthetic material and appropriate retentive aid for each patient. Though spectacle retained acrylic prosthesis is a conventional method, it was a user friendly and economical option for this patient.