Hafiza Sadia Imtiaz*, Zahid Kamal Siddique, Fizzam Zahid and Zahid Hafeez Sheikh

Department of Ophthalmology, King Edward Medical University/ Mayo Hospital, Lahore, Pakistan

*Corresponding Author: Hafiza Sadia Imtiaz, Department of Ophthalmology, King Edward Medical University/ Mayo Hospital, Lahore, Pakistan.

Received: September 26, 2023; Published: December 21, 2023

Abstract

Objective: To determine the efficacy of custom-designed, light-weight ocular prosthesis in cosmetic rehabilitation of anophthalmic socket with regard to patient’s satisfaction level, degree of motility, and less associated complications.

Study Design: Non-comparative interventional prospective study

Study Place and Duration: At Eye unit 3, Mayo Hospital, Lahore, for study duration of July 2006 to Dec 2022.

Material and Methods: After taking IRB approval, 100 patients of either age and gender, with anophthalmic socket following evisceration or enucleation where orbital volume was sufficiently restored and the fornices were adequately formed, enrolled in this study. Custom-designed and light-weight ocular prosthesis were fabricated by the ocularist and follow up were done. Patient’s satisfaction score, degree of motility of ocular prosthesis and associated complications were recorded on proforma. Statistical analysis was performed using SPSS v 25.

Results: Out of 100 patients, 36% were male and 64% were female. Majority of patients (63%) had evisceration previously and the highest percentage for its cause was endophthalmitis (33%). Mean patient’s satisfaction score at one month was 4.96 ± 1.25 that further improved to 5.21 ± 0.68 at 6 months follow up with a significant p-value of 0.032 (< 0.05). Degree of prosthetic eye movement was fair in majority (43%) and the most common complication was mucous discharge that too only in 17%.

Conclusion: In conclusion, custom designed and light-weight ocular prosthesis are very effective in achieving the higher satisfactory score of patients, better ocular motility and reducing the prosthesis related complications that help patients in maintaining the better quality of life.

Keywords: Custom-designed; Light-weight; Ocular Prosthesis; Anophthalmic Socket

References

1. Lbbbkin V and Sloan. S. “Enucleation and psychic trauma”. Advances in Plastic and Recontructive Surgery 8 (1990): 259-262.
2. Schmitzer S., et al. “The Anophthalmic Socket - Reconstruction Options”. Journal of Medicine and Life4 (2014): 23-29.
3. London Times (February 20, 2007). “5000 years old artificial eye found on Iran-Afghan border”.
4. 3^rd millennium B C artificial eye ball discovered in Burnt city Dec. 10, (2008).
5. Frequently asked questions, American Society of Ocularist.
6. Gunaseelaraj R., et al. “Custom-made ocular prosthesis”. Journal of Pharmacy and Bioallied Sciences 4 (2012): S177-179.
7. de Gottrau P., et al. “Clinicopathological review of 1146 enucleations (1980-90)”. British Journal of Ophthalmology 78 (1994): 260-265.
8. Koch KR., et al. “Ocular prosthetics. Fitting, daily use and complications”. Ophthalmologe 113 (2016): 133-142.
9. Rokohl AC., et al. “Concerns of anophthalmic patients-a comparison between cryolite glass and polymethyl methacrylate prosthetic eye wearers”. Graefe's Archive for Clinical and Experimental Ophthalmology 256 (2018): 1203-1208.
10. Rokohl AC., et al. “Concerns of Anophthalmic Patients Wearing Cryolite Glass Prosthetic Eyes”. Ophthalmic Plastic and Reconstructive Surgery 34 (2018): 369-374.
11. Rokohl AC., et al. “Rehabilitation of Anophthalmic Patients with Prosthetic Eyes in Germany Today - Supply Possibilities, Daily Use, Complications and Psychological Aspects”. Klinische Monatsblätter für Augenheilkunde 236 (2019): 54-62.
12. Bohman E., et al. “Pain and discomfort in the anophthalmic socket”. Current Opinion on Ophthalmology 25 (2014): 455-60.
13. Pine NS., et al. “An investigation into discharge, visual perception, and appearance concerns of prosthetic eye wearers”. Orbit 36 (2017): 401-406.
14. Pine NS., et al. “Time Heals: An Investigation into How Anophthalmic Patients Feel about Eye Loss and Wearing a Prosthetic Eye”. Journal of Ophthalmology and Visual Sciences 2 (2017): 1018.
15. Pine NS., et al. “The Impact of Eye Loss and Prosthetic Eye Wear on Recreational, Occupational and Social Areas of Functioning”. Journal of Ophthalmology and Visual Sciences 2 (2017): 1016.
16. Chin K., et al. “Early ocular prosthesis insertion improves quality of life after enucleation”. Optometry 77 (2006): 71-75.
17. Pine K., et al. “Concerns of anophthalmic patients wearing artificial eyes”. Clinical and Experimental Ophthalmology 39 (2011): 47-52.
18. Hughes MO and Hughes N. “Visual Field Deficits After Eye Loss: What Do Monocular Patients (Not) See?” Insight 40 (2015): 11-17.
19. Udayshankar V., et al. “Rehabilitation of ocular defect with hollow ocular prosthesis. IP International Journal of Ocular Oncology and Oculoplasty4 (2019): 267–270.
20. Azhar IS., et al. “Custom-made ocular prosthesis for rehabilitation of missing parts of the face: A case report”. Acta Medica Philippina8 (2021).
21. Rokohl A., et al. “Customizing a cryolite Glass Prosthetic Eye”. Journal of Visualized Experiments 152 (2019).
22. Ariani MD., et al. “Custom made ocular prosthesis in elderly patients: A case report”. Journal of Applied Pharmaceutical Science (2022).

Citation

Citation: Hafiza Sadia Imtiaz., et al. “The Efficacy of Custom-designed, Light-weight Hollow Ocular Prosthesis".Acta Scientific Ophthalmology 7.1 (2024): 36-40.

Copyright

Copyright: © 2024 Hafiza Sadia Imtiaz., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.