Revolutionizing orbital reconstruction: Spectacle -retained prosthesis for post-mucormycosis defect

Area of Science:

• Ophthalmology
• Infectious Diseases
• Prosthodontics

Background:

• Mucormycosis incidence has risen, particularly after the COVID-19 pandemic.
• This has increased the number of patients presenting with significant intraoral and extraoral defects to prosthodontists.
• The aggressive nature of mucormycosis can lead to orbital involvement, necessitating urgent surgical intervention like eye enucleation.

Purpose of the Study:

• To detail the management of a patient with a large defect following mucormycosis-induced enucleation.
• To illustrate the role of prosthodontics in rehabilitating patients with post-mucormycosis facial defects.
• To present a case of a spectacle-retained orbital prosthesis for a patient with a history of mucormycosis.

Main Methods:

• Case report of a 57-year-old male patient.
• Management of a right eye enucleation due to mucormycosis infection.
• Fabrication and fitting of a spectacle-retained orbital prosthesis.

Main Results:

• Successful rehabilitation of a patient with a large orbital defect using a prosthesis.
• Restoration of aesthetics and function for a patient post-enucleation.
• Demonstration of a viable prosthetic solution for complex post-infectious defects.

Conclusions:

• Prosthodontic rehabilitation is crucial for patients with defects from mucormycosis.
• Spectacle-retained orbital prostheses offer an effective solution for enucleated patients.
• Early and comprehensive management is key for improving quality of life after severe infections.