Prosthodontic Rehabilitation of Patients with Ocular Defects Using Customized Ocular Prostheses: A Case Series

Abstract

Background: Ocular loss or congenital absence can affect facial symmetry, aesthetics, and psychosocial well-being. Customized ocular prostheses provide individualized rehabilitation according to socket anatomy.

Case Description: This case series presents four customized rehabilitation approaches. A 71-year-old male with congenital absence of the right eye received a lightweight hollow ocular prosthesis fabricated using the lost-salt technique. A 61-year-old male with a traumatic defect following evisceration received a chair-side interim prosthesis using a sectional silicone mold. A 59-year-old female, previously enucleated for neovascular glaucoma, underwent peripheral modification of an existing prosthesis using light-cured acrylic resin to improve retention. A 71-year-old male received individualized scleral characterization to improve aesthetic integration with the contralateral eye.

Conclusion: Individualized modification of conventional ocular prosthetic techniques can address challenges related to prosthesis weight, interim rehabilitation, retention, and aesthetic integration.

Keywords: Ocular prosthesis; congenital anophthalmia; hollow ocular prosthesis; scleral characterization.