Prescribing spectacles for anophthalmic patients

Clinical situations exist where socket reconstruction after enucleation is incomplete and additional surgery is contraindicated. The resultant cosmetic disfigurement may have a profound effect on the patient. An illustrative case is presented. Available methods of anophthalmic camouflage are reviewed, and a relatively inexpensive technique is described that relies on optical cosmesis to give the patient a natural and symmetric appearance.