Custom-Made Ocular Prosthesis for Atrophic Anophthalmic Cavity

Area of Science:

• Ocular prosthetics
• Maxillofacial prosthetics
• Ophthalmology

Background:

• Anophthalmic cavities with cicatricial retraction present fabrication challenges for ocular prostheses.
• Achieving both reduced size for atrophy and good esthetic appearance (contour, iris) is difficult.
• Herpes zoster can lead to anophthalmic atrophic cavities requiring specialized prosthetic solutions.

Observation:

• A clinical report on a 77-year-old male with an anophthalmic atrophic cavity due to herpes zoster.
• The rehabilitation focused on patient comfort, prosthesis retention, and esthetic appearance.
• Special attention was given to achieving complete eye closure with the ocular prosthesis.

Findings:

• Successful prosthetic rehabilitation of an atrophic anophthalmic cavity was achieved.
• The treatment prioritized comfort, adaptation, retention, and esthetic integration.
• The case demonstrated effective management of an unusual prosthetic challenge.

Implications:

• This case highlights successful strategies for rehabilitating challenging anophthalmic cavities.
• The findings contribute to the understanding of ocular prosthetic techniques for atrophic sockets.
• Improved esthetic and functional outcomes are achievable even in complex cases.