Prosthetic management with a scleral prosthesis: an 'eye on an eye'

Eyes are an essential organ not only in terms of vision but also being an important component of facial expression. The loss of an eye has a crippling effect on the psychology of the patient. A natural eye is surgically removed by enucleation, evisceration or exenteration because of trauma, pathology or tumor. Treatment of such rehabilitation cases includes implant-retained and acrylic eye prostheses by a maxillofacial prosthodontist to restore the patient's quality of life. For economic reasons, a removable acrylic prosthesis is preferred over an implant-retained prosthesis. Here, we describe a case of a customized acrylic scleral shell prosthesis which showed excellent retention and esthetics.