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A novel technique for CAD-CAM assisted digital ocular prosthesis.
Yassmin Ashour Tahmawy1, Faten Salah Eldin Mohamed1, Suzan Ahmed Elfeki2
1Department of Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Summary
This study presents a digital workflow for creating custom ocular prostheses using computed tomography (CT) and 3D printing. This innovative method enhances precision and personalization in prosthetic eye fabrication.
Area of Science:
- Ophthalmology
- Biomedical Engineering
- Digital Dentistry
Background:
- Custom ocular prostheses are essential for patients with anophthalmia, improving aesthetics and psychological well-being.
- Traditional methods for ocular prosthesis fabrication can be time-consuming and may lack precision.
- Advancements in digital technology offer potential for more accurate and efficient prosthetic design.
Purpose of the Study:
- To describe a novel digital workflow for the fabrication of custom ocular prostheses.
- To integrate computed tomography (CT) and 3D printing for enhanced prosthetic design and manufacturing.
- To achieve a more precise and personalized fit for ocular prostheses.
Main Methods:
- Segmentation of the healthy eye's outer region and the anophthalmic socket's tissue bed using CT data.
- Determination of iris position via optical nerve tracing and facial scan superimposition.
- Generation of a standard tessellation language (STL) file for 3D printing, with UV printing for the iris and conventional methods for scleral characterization and acrylic finishing.
Main Results:
- Successful creation of a digital model for a custom ocular prosthesis.
- Accurate replication of the ocular anatomy and socket contour.
- Production of a 3D-printed ocular prosthesis with a precisely positioned iris and detailed scleral features.
Conclusions:
- The described digital workflow offers a precise and efficient method for fabricating custom ocular prostheses.
- Integration of CT, digital modeling, and 3D printing significantly improves prosthetic eye customization.
- This technique holds promise for enhancing patient outcomes in ocular prosthetics.

