Customized Silicone Ocular Prosthesis for Post-exenteration Rehabilitation: A Case Report

Area of Science:

• Ocular prosthetics
• Maxillofacial rehabilitation
• Oncologic reconstructive surgery

Background:

• Orbital exenteration for malignancy, trauma, or congenital defects causes severe facial deformities.
• These deformities significantly impact patient self-esteem, social interaction, and psychological well-being.
• Prosthetic rehabilitation is crucial for restoring facial symmetry and improving quality of life.

Observation:

• A 57-year-old male, post-orbital exenteration due to squamous cell carcinoma, experienced prolonged social withdrawal and distress due to delayed prosthetic referral.
• A custom silicone ocular prosthesis was fabricated using a systematic approach, including impressions and wax try-ins.
• The prosthesis utilized room-temperature vulcanized silicone for optimal aesthetics, flexibility, and comfort, retained by natural undercuts.

Findings:

• The custom silicone ocular prosthesis successfully restored facial aesthetics and function.
• The patient reported significant improvements in self-confidence and social reintegration post-prosthesis insertion.
• The prosthesis provided an economical, non-invasive, and comfortable solution for the patient.

Implications:

• Early prosthetic referral is vital for patients undergoing orbital exenteration.
• A multidisciplinary approach enhances functional and aesthetic outcomes in post-exenteration rehabilitation.
• Ocular prosthetics play a critical role in restoring quality of life for patients with orbital defects.