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VOLUME 8 , ISSUE 1 ( January-December, 2023 ) > List of Articles

CASE REPORT

A Novel Technique for Fabricating an Ocular Prosthesis: A Case Report

Harshvardhan S Arora, Sudhir Meena, Hiral Joshi, Narendra Padiyar

Keywords : Case report, Custom ocular prosthesis, Ocular defect

Citation Information : Arora HS, Meena S, Joshi H, Padiyar N. A Novel Technique for Fabricating an Ocular Prosthesis: A Case Report. J Mahatma Gandhi Univ Med Sci Tech 2023; 8 (1):44-48.

DOI: 10.5005/jp-journals-10057-0248

License: CC BY-NC 4.0

Published Online: 19-10-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aims and background: The purpose of this case report is to describe a relatively simple and economically feasible method to fabricate an ocular prosthesis. Various techniques have been described previously; however, some are technique-sensitive and invasive while others are expensive. Case description: A 79-year-old male patient reported to our department with a chief complaint of missing left eye for the last 10 years due to road traffic accident. He had a prosthesis fabricated previously but was not satisfied with it due to ill fit and poor esthetics. The rehabilitation plan for this case was to fabricate a new ocular prosthesis using the existing one. The prosthesis was used as a custom tray to record the impression with admixed technique to obtain the dimensions of the defect. A putty mold of the impression was made. Wax pattern was fabricated using this mold. Iris positioning was done using transparent graph paper followed by wax pattern trial to check the depth, bulk, and fit in accordance with the contralateral eye. Dewaxing and processing were done, followed by iris painting and second-stage curing. Prosthesis insertion was done and necessary instructions were given to the patient. Conclusion: A patient with an ocular defect was provided an ocular prosthesis which involved easy procedures and use of minimal materials. Though the vision was not reestablished, the patient's self-confidence was drastically improved. The use of the existing prosthesis as a special tray eliminated the need for a conventional primary impression that decreased the patient's discomfort. This technique also avoids the use of other invasive measures. Clinical significance: This technique is useful in fabrication of ocular prosthesis with patients with an existing prosthesis as it reduces the chair time, is economical as well as noninvasive, and reduces patient discomfort.


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