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Customizing a Cryolite Glass Prosthetic Eye

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Development and Validation of a Grading Scale for Custom Ocular Prosthesis.

Tarjani V Dave¹, Sathish Kumar, Jaya Vasanthalin

¹*MD †BSc Socket, Anophthalmia and Orbitofacial Prosthesis Services (TVD, SK, JV), and Ophthalmic Plastic Surgery Services (TVD, SK, MJA, MNN), L. V. Prasad Eye Institute, Kallam Anji Reddy Campus, Banjara Hills, Hyderabad, India.

Optometry and Vision Science : Official Publication of the American Academy of Optometry

|August 16, 2016

Summary

This study developed a new grading scale for custom ocular prosthesis aesthetics. The scale demonstrated good agreement among observers, offering a standardized method for evaluating prosthetic outcomes.

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Area of Science:

Ophthalmology
Prosthetics
Medical Imaging

Background:

Custom ocular prostheses aim to improve patient aesthetics and quality of life.
Objective and reproducible methods for evaluating the artistic outcome of these prostheses are lacking.

Purpose of the Study:

To develop a standardized and universally reproducible grading scale for the artistic outcome of custom ocular prostheses.

Main Methods:

A retrospective review of 50 custom ocular prosthesis photographs was conducted.
Two independent oculoplastic surgeons graded prosthesis characteristics (limbus, vascularity, pigmentation) on a 0-2 scale.
Inter-observer and intra-observer agreement were assessed using the kappa statistic.

Main Results:

Good inter-observer agreement was found for limbus (0.7), vascularity (0.76), and pigmentation (0.6).
High intra-observer agreement was achieved by both surgeons across all characteristics.
Kappa values indicated substantial to excellent agreement for most assessments.

Conclusions:

A novel grading scale for custom ocular prosthesis outcomes demonstrates good reliability.
This system provides an objective method for evaluating prosthetic artistry, suitable for ocularistry education and standardization.