Indications For Artificial Eyes --- Custom Artificial Eye

Patients who come to visit us at The Center for Custom Prosthetics are looking for a quality custom artificial eye, ocular prosthesis. A custom artificial eye is made of the finest quality of acrylic plastic which is the same material used in the dental industry since 1939.

The shape of the eye is individually fitted to each patient to the shape of your eye socket for the best possible comfort, eye movement and life-like appearance. The iris is colored to match your opposing eye exactly, also adding veins to the sclera (the white of the eye) will add realism to the life like appearance. Each custom artificial eye is made individually for that patient, each prosthesis is a unique work of art.

   
 
   
 
   

Congenital Conditions
Microphthalmia
Clinical anophthalmia

Acquired Conditions
Anophthalmia post evisceartion/ enucleation
Phthisis bulbi
Atrophic globes
Painless blind eyes
Severely deformed socket
Post orbital exenteration
Severe oribital trauma

Most Common Indications are Microphthalmia and Clinical anophthalmia

Microphthalmia / Clinical Anophthalmia

In a lot of cases children are born with a condition called Microphthalmia. Microphthalmia is a congenital condition found in infants, who suffer from an abnormally formed eye or the eye does not form to the full size. The artificial eye prosthetic procedure  in most of these cases are basically the same as that of an adult. However in some cases the socket is not large enough and the child must go through several stages of increases. By increasing conformers every so many months (the exact length between changes will be determined by your ocularist) , we are careful to stretch the socket and thereby stimulate a natural growth rate, so that the area affected on the child will thereby grow at a normal rate. Once the eye gains to an acceptable size then a prosthetic eye is made to fit it.  Most conformers are made from clear plastic but if the socket size has adequate volume, an actual plastic eye prosthesis can be made to match the companion eye. This is very important to children, especially in their formative years, because of the immeasurable benefit that a well crafted prosthetic eye can add to their self image and the comfort of the child's parents.

There are also surgical procedures now available that implant inflatable silicone implants to help to increase the volume of the socket, and other types of implants that will help in the mobility, but it is imperative that the child should be monitored very closely in their growing years in order to conform to the natural size of their remaining eye. 

Most Common Indications are ocular Trauma, Ocular Tumor, Post retinal surgery who need scleral shells

Scleral Shell

The scleral shell is used to cover a blind, unsightly eye that has not otherwise deteriorated to a condition that requires enucleation. Phthisis bulbi, (shrinking of the eye) is a common reason for the fitting of a flush-fitting scleral shell. Scleral shells are very thin in comparison to a custom artificial eye, because it is being fitted over an existing eye it requires skill and exact fitting for a successful aesthetic result. The highly polished surface allows the eyelids to close smoothly which will improve the comfort for the patient. 

A scleral shell is made of the finest quality of acrylic plastic which allows the ocularist to maintain an extreme thinness required for the shell for fit over an existing eye. The shape of the shell has to be individually fitted to each patient to fit over the shape of your eye for the best possible comfort, eye movement and life-like appearance. The iris is colored to match your opposing eye exactly, also adding veins to the sclera (the white of the eye) will add realism to the life like appearance. Each scleral shell is made individually for that patient; each prosthesis is a unique work of art. 

A custom fitted scleral shell not only matches the other eye, it usually moves in a synchronous manner with the other eye.  Also to the improved appearance and increased comfort, the custom fitted scleral shell provides a more natural surface for normal lacrimal tear function. 


Patient following Sever ocular Trauma, Fungus Infections, ocular and orbital Tumor under go for Radiation, Need ocular/Facial prosthesis

Post Retinoblastoma

Another condition that a child may be born with is Retinoblastoma. Retinoblastoma is a tumor that can be cancerous and affect the health of the youngster. These tumors are normally removed and when involved in the body of the eye ball, the eye ball is unfortunately, totally removed in order to save the child from further complications.

However, once the surgical procedures have been completed, an ocular prosthesis can be made in just the same way as you would make artificial eye prosthesis for a normally fitted enucleated socket.