Prosthetic rehabilitation of anophthalmic ocular sinistra and phthisis bulbi ocular dextra: a case report

Rivani Susilo, Lisda Damayanti, Vita Mulya Passa Novianti

Abstract


Introduction: Loss of an eyeball due to enucleation or phthisis bulbi results in functional deficiency and facial deformities. This condition can cause significant psychological distress, especially if it results from unexpected infections or trauma. Case Report: A 30-year-old male patient presented to the Prosthodontic Clinic at Universitas Padjadjaran's Dental Hospital with complaints of low self-confidence due to his eye condition. The patient lost his left eye in childhood due to trauma and subsequently underwent surgical removal. Examination revealed a healthy conjunctiva with no signs of infection. Meanwhile, the right eye had experienced an infection six years ago but had not been removed. Examination showed a shrunken eyeball with vision loss. Bilateral custom ocular prostheses were fabricated for aesthetic purposes.  Disscusion: Maintaining a healthy socket condition, preserving the ability of eye muscles to blink, normal eyelash positioning, preventing superior or inferior eyelid malposition, and maintaining normal eyelid closure post-enucleation or phthisis bulbi are crucial factors for the creation of an ideal ocular prosthesis. This case report outlines socket rehabilitation in a case of anophthalmic ocular sinistra and phthisis bulbi ocular dextra, focusing on preserving socket shape and support from muscles. Conclusion: Precisely crafted ocular prostheses offer advantages in retention, stability, aesthetics, and comfort for patients with anophthalmic sockets following enucleation and phthisis bulbi.

Keywords


ANOPHTHALMIC, ocular enucleation, phthisis bulbi, ocular prostheses

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References


Goiato MC, Bannwart LC, Haddad MF, dos Santos DM, Pesqueira AA, Miyahara GI. Fabrication Techniques for Ocular Prostheses – An Overview. Orbit. 2014;33(3):229–33. https://doi.org/10.3109/01676830.2014.881395

Lanzara R, Thakur A, Viswambaran M, Khattak A. Fabrication of ocular prosthesis with a digital customization technique – A case report. J Family Med Prim Care. 2019;8(3):1239. https://doi.org/10.4103/jfmpc.jfmpc_105_19

Kumari J, Verma A, Shankar D, Chatterjee U, Ranjan M. Ocular Prosthesis- Fabrication and Microbial Assessment. Jharkhand, India; 2020 Jul. https://doi.org/10.4103/jfmpc.jfmpc_105_19

A Adewara B, A Badmus S, T Olugbade O, Ezeanosike E, O Adegbehingbe B. Distribution of phthisis bulbi and status of fellow eyes at a tertiary eye-care centre in Nigeria: a ten-year review. Afr Health Sci. 2021 Apr 16;21(1):437–44. https://doi.org/10.4314/ahs.v21i1.60

McBain HB, Ezra DG, Rose GE, Newman SP. The Psychosocial Impact of Living with an Ocular Prosthesis. Orbit. 2014 Feb 8;33(1):39–44. https://doi.org/10.3109/01676830.2013.876358

Azhar IS, Megantara RWA, Dahlan A. Custom-made Ocular Prosthesis for Rehabilitation of Missing Parts of the Face: A Case Report. Vol. 55, Acta Medica Philippina. 2021. https://doi.org/10.47895/amp.v55i1.123

Sharma S, Chandra S, Gupta S, Srivastava S. Heterogeneous conceptualization of etiopathogenesis: Oral pyogenic granuloma. Natl J Maxillofac Surg. 2019;10(1):3. https://doi.org/10.4103/njms.NJMS_1_19

Zoltie T, Bartlett P, Archer T, Walshaw E, Gout T. Digital photographic technique for the production of an artificial eye. J Vis Commun Med. 2021 Apr 3;44(2):41–4. https://doi.org/10.1080/17453054.2021.1882294

Waskitho A, Sugiatno E, Ismiyati T. Protesa Mata: Rehabilitasi Pasien. Majalah Kedokteran Gigi Indonesia. 2015 Dec 1;20(2):178. https://doi.org/10.22146/mkgi.12956

Bonaque-González S, Amigó A, Rodríguez-Luna C. Recommendations for post-adaption care of an ocular prosthesis: A review. Contact Lens and Anterior Eye. 2015 Dec;38(6):397–401. https://doi.org/10.1016/j.clae.2015.07.004

Gede I, Sugiantara PS, Dipoyono HM, Ismiyati T, Wahyuningtyas E. Pembuatan ulang protesa mata non-fabricated untuk rehabilitasi estetik. Vol. 6, Clinical Dental Journal) UGM. 2020. https://doi.org/10.22146/cdj.49756

Azhar IS, Megantara RWA, Dahlan A. Custom-made Ocular Prosthesis for Rehabilitation of Missing Parts of the Face: A Case Report. Acta Medica Philippina. 2021;55:123. https://doi.org/10.47895/amp.v55i1.123

Rosalina, Clara, Erwan Sugiatno, and Haryo Mustiko. "Pembuatan Obturator Mata pada Pasien dengan Kehilangan Mata Akibat Cacat Bawaan." Maj Ked Gigi Ind 17, no. 1 (June 30, 2010): 35. http://dx.doi.org/10.22146/majkedgiind.16017.

Choubisa D. A simplified approach to rehabilitate an ocular defect: Ocular prosthesis. The Journal of Indian Prosthodontic Society. 2017;17(1):89. https://doi.org/10.4103/jips.jips_1_17

Farook TH, Rahman AM, Islam Nizami MMU, Amin M, Jamayet N Bin, Alam MK. Custom made ocular prosthesis for acquired eye defect:Adefinitive option of rehabilitation. Bangladesh J of Med Science. 2019 Aug 30;18(4):823–6. https://doi.org/10.3329/bjms.v18i4.42947

Goiato MC, Bannwart LC, Haddad MF, dos Santos DM, Pesqueira AA, Miyahara GI. Fabrication Techniques for Ocular Prostheses – An Overview. Orbit. 2014 Jun 25;33(3):229–33. https://doi.org/10.3109/01676830.2014.881395

Kaur J. Prosthetic Rehabilitation of a Patient with Ocular Defect- A Case Report. Dental Journal of Advance Studies. 2017 Apr 5;05(01):063–6. https://doi.org/10.1055/s-0038-1672084

Abdelbaky SH, El Essawy RA. Successful conjunctival socket expansion in anophthalmic patients until the age of 2 years: an outpatient procedure. Clinical Ophthalmology. 2016.Vol10:1743–8. https://doi.org/10.2147/OPTH.S109486

Cantor LB, Rapuano CJ, Cioffi GA. Basic and Clinical Science Course TM 2 Fundamentals and Principles of Ophthalmology. 2017.

Cevik P, Dilber E, Eraslan O. Different Techniques in Fabrication of Ocular Prosthesis. Journal of Craniofacial Surgery. 2012;23(6):1779–81. https://doi.org/10.1097/SCS.0b013e31825b8a0d




DOI: https://doi.org/10.24198/pjd.vol37no1.59219

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