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Prosthetic rehabilitation of a pediatric patient with an ocular defect
Triveni Mohan Nalawade1, Rachappa M Mallikarjuna2, Bina M Anand3
1Reader, Department of Pediatric and Preventive Dentistry, Manubhai Patel Dental College and Hospital, Vishva Jyoti Ashram Near Vishwamitri Bridge, Vadodara, Gujarat, India.
Insights
Custom acrylic ocular prostheses offer a cost-effective solution for children with anophthalmia, improving aesthetics and psychological well-being. Digital photography aids in fabricating well-fitting, functional eye replacements for pediatric patients.
Area of Science:
- Ophthalmology
- Prosthodontics
- Pediatric Dentistry
Background:
- Anophthalmia, the absence of an eye, significantly impacts a child's physical, psychological, and social well-being.
- Ocular prostheses are essential for esthetic rehabilitation and proper development of the anophthalmic socket.
- While implant-supported prostheses offer superior outcomes, economic factors can limit their accessibility for pediatric patients.
Observation:
- This case study presents a custom-fabricated ocular acrylic prosthesis for a pediatric patient with an ocular defect.
- Digital photography was utilized to enhance the fabrication process, ensuring a precise fit and improved esthetics.
- The prosthesis aimed to restore facial symmetry and facilitate social integration.
Findings:
- The custom acrylic ocular prosthesis demonstrated acceptable fit and retention.
- The prosthetic rehabilitation resulted in improved esthetics and a degree of motility, coordinated with the contralateral eye.
- This approach provides a viable alternative for prosthetic rehabilitation when cost is a concern.
Implications:
- Custom ocular prostheses are a crucial component of prosthetic rehabilitation for pediatric patients with anophthalmia.
- Early prosthetic intervention promotes physical and psychological healing, enhancing social acceptance.
- Digital photography integration offers a modern, efficient method for creating personalized ocular prostheses.
Abstract:
The eye is a vital organ for vision and an important component of facial expression. Loss of an eye has a crippling effect physically and psychologically. Especially, in case of a child where it affects the parent too and the approach toward these special children needs to be very special indeed. The construction of an ocular prosthesis for a child is the same as for an adult. A growing child will require periodic enlargement of the prosthesis in order to accompany the expansion of the anophthalmic cavity and it is the only way to esthetically rebuild the anophthalmic socket. Although implant eye prosthesis has superior outcome, due to economic factors it may not be advisable in all patients. Therefore, an acrylic custom-made ocular prosthesis replacement as soon as possible is a good alternative to promote physical and psychological healing for the patient and to improve social acceptance. A case of a custom fabricated ocular acrylic prosthesis using the advantages of digital photography is presented here, which had acceptable fit, retention and improved esthetics with a certain degree of motility in coordination with the contralateral normal eye. How to cite this article: Nalawade TM, Mallikarjuna RM, Anand BM, Anand M, Shashibhusan KK, Subba Reddy VV. Prosthetic Rehabilitation of a Pediatric Patient with an Ocular Defect. Int J Clin Pediatr Dent 2013;6(1):62-65.
