Customized Liquid Ocular Prosthesis for Anophthalmic Patients suffering from Dry Eye: A Clinical Research
Rubina Gupta, Arjun Bharat, Sushil Nijhawan
Citation Information :
Gupta R, Bharat A, Nijhawan S. Customized Liquid Ocular Prosthesis for Anophthalmic Patients suffering from Dry Eye: A Clinical Research. Int J Prosthodont Restor Dent 2016; 6 (3):57-62.
Prosthetic eyes often cause dryness, irritation, and inflammation of the anophthalmic sockets.
Purpose
To reduce the discomfort caused due to dryness of ocular prosthesis by a custom-made hollow ocular acrylic prosthesis, which is filled with lubricant drops slowly and systemically released into the ophthalmic cavity upon blinking.
Materials and methods
Thirty-eight patients wearing unilateral artificial eye for a period of more than 6 months were evaluated. An innovative customized hollow prosthesis is described, which was incorporated with a hollow reservoir containing a combination of a tear substitute along with cyclosporine A (0.05%) acting as the lubricant. The patients were then evaluated with the help of a questionnaire, regarding the comfort, dryness, soreness, and the ease of use of prosthesis. A self-formulated grading system was used to record the scores.
Results
Postinsertion of this hollow prosthesis, there was a marked reduction in the dryness, irritation, discomfort, and signs of inflammation.
Conclusion
It was concluded that the continuous flow of the lubricant onto the dry prosthetic eye helps in reducing dryness, irritation, soreness, and inflammation.
Clinical implications
A hollow ocular prosthesis that can continuously discharge lubricant onto the dry prosthesis can help in increasing patient's acceptance and comfort.
How to cite this article
Gupta R, Aggarwal R, Bharat A, Nijhawan S. Customized Liquid Ocular Prosthesis for Anophthalmic Patients suffering from Dry Eye: A Clinical Research. Int J Prosthodont Restor Dent 2016;6(3):57-62.
Enucleation and psychic trauma. Adv Ophthalmic Plast Reconstr Surg 1990;8:259-262.
Psychological and economic aspects of maxillofacial patients. Baltimore (MD): The Williams & Wilkins Co; 1972.
Clinical maxillofacial prosthetics. Chicago, London: Quintessence Publishing; 2000. p. 233-276.
Evaluation of ocular prosthesis. J All India Ophthalmol Soc 1969 Dec;17(6):266-269.
Problem solving technique in ocular prosthetic reconstruction. Saudi Dent J 1990;2(1):7-10.
A technique for fabrication of an interim ocular prosthesis. J Prosthodont 2008 Dec;17(8):654-661.
Relining an ocular prosthesis: a case report. J Prosthodont 1995 Sep;4(3):160-163.
Restoration of facial defects. In: Beumer J, editor. Maxillofacial rehabilitation: prosthodontic and surgical considerations. St. Louis (MO): Mosby; 1996. p. 350-364.
Digital imaging in the fabrication of ocular prostheses. J Prosthet Dent 2006 Apr;95(4):327-330.
Ocular prosthetics: use of a tissue conditioner material to modify a stock ocular prosthesis. J Prosthet Dent 1997 Aug;78(2):218-222.
Management of xerostomia patient with salivary reservoir designed in upper complete denture and lower cast partial denture. J Contemp Dent 2014;4(1):56-59.
Responses of contact lens wearers to a dry eye survey. Optom Vis Sci 2000 Jan;77(1):40-46.
Symptomatology of HEMA contact lens wear. Optom Vis Sci 1989 Dec;66(12):834-838.
Artificial eyes and tear measurements. Ophthalmology 1980 Feb;87(2):155-157.
Tear measurement in prosthetic eye users with Fourier-domain optical coherence tomography. Am J Ophthalmol 2010 Apr;149(4):602-607.
The morphology of human conjunctival mucus. Arch Ophthalmol 1979 Apr;97(4):730-734.
Conjunctival cytologic features in anophthalmic patients wearing an ocular prosthesis. Ophthal Plast Reconstr Surg 2008 Jul-Aug;24(4):290-295.
Dry eye disease: a review of diagnostic approaches and treatments. Saudi J Ophthalmol 2014 Jul;28(3):173-181.
Cyclosporine 0.05% ophthalmic emulsion for dry eye in Korea: a prospective, multicenter, open-label, surveillance study. Korean J Ophthalmol 2011 Dec;25(6):369-374.
Long-term resolution of chronic dry eye symptoms and signs after topical cyclosporine treatment. Ophthalmology 2007 Jan;114(1):76-79.
Goblet cell numbers and epithelial proliferation in the conjunctiva of patients with dry eye syndrome treated with cyclosporine. Arch Ophthalmol 2002 Mar;120(3):330-337.
Short-term effects of topical cyclosporine A 0.05% (Restasis) in long-standing prosthetic eye wearers: a pilot study. Eye 2014 Oct;28(10):1212-1217.
Lost salt technique for severely resorbed alveolar ridges: an innovative approach. Contemp Clin Dent 2012 Jul;3(3):352-355.
Dentures are artificial saliva reservoirs in the irradiated edentulous patient with xerostomia: a pilot study. Oral Surg Oral Med Oral Pathol 1981 Mar;51(3):229-233.
Fabrication of an artificial reservoir denture system for xerostomia management. Quint Dent Tech 1985 Jun;9(6):355-358.
Restorative dentistry in the patient with dry mouth. Part 2. Problems and solutions. Dent Update 1996 Apr;23(3):110-114.
Patient preferences in a preliminary study comparing an intra-oral lubricating device with the usual dry mouth lubricating methods. Br Dent J 2002 Oct 12;193(7):403-408.
Restoration of an atrophic eye socket with custom made eye prosthesis, utilizing digital photography. Indian J Dent Res 2011 May-Jun;22(3):482-485.
