Ocular Prosthetics (Artificial Eyes)

An ocular prosthesis, or artificial eye, is a custom-made acrylic shell that sits behind the eyelids over an orbital implant after an eye has been removed, or over a blind, shrunken eye as a scleral shell. An ocularist shapes it to your socket and hand-paints it to match your other eye.

A well-made prosthesis restores a natural appearance and supports the eyelids and socket. It does not see, and no current device restores sight this way. Movement is usually less than that of the other eye, especially on extreme gaze, and the pupil does not react to light.

What Ocular Prosthetics (Artificial Eyes) involves

Fitting begins once the socket has healed, usually 6 to 8 weeks after enucleation or evisceration, during which a clear conformer keeps the space open. The ocularist takes an impression of the socket with a soft alginate material, much like a dental mould, and makes a wax model that is tried in and adjusted until the lids sit level and open evenly. The iris is painted while you sit opposite, matching colour, limbal ring and pupil size in room light; fine red threads imitate blood vessels on the white. The shell is then cured in medical acrylic, polished to a high gloss, and tried again for comfort and movement. You are taught how to insert, remove and clean it.

Who is a good candidate for Ocular Prosthetics (Artificial Eyes)?

People come to a prosthesis by different routes, and the fitting differs for each.

• Adults or children who have had an eye removed for injury, tumour, infection or a painful blind eye
• A blind, disfigured but comfortable eye that can be covered with a thin scleral shell
• An existing prosthesis that has become loose, scratched, uncomfortable or mismatched
• Children with a very small or absent eye, who need expanding conformers to help the socket grow

Es ist normalerweise nicht die richtige Wahl, wenn:

• A socket that is still healing, infected or has an exposed implant
• A severely contracted socket that needs reconstructive surgery first
• A sensitive blind eye that cannot tolerate a shell without prior surgery
• Anyone hoping for restored vision

Technikoptionen

• Custom impression-moulded prosthesis: The standard of care; gives the most comfortable fit, movement and match.
• Stock (ready-made) eye: A temporary measure only; fit and appearance are inferior.
• Scleral cover shell: A thin prosthesis worn over your own blind or shrunken eye.
• Socket surgery before fitting: Orbital implant, dermis fat graft, lid tightening or fornix reconstruction by an oculoplastic surgeon when the socket cannot hold a prosthesis.

Was passiert während Ihrer Behandlung

Fitting is done in a clinic chair with no needles. The impression takes a few minutes and feels cold and odd rather than painful; anaesthetic drops can be used. Expect 2 to 4 appointments of 1 to 3 hours over several days, with time in between for laboratory work. Some ocularists complete the process in 1 to 2 long days.

Vorbereitung auf Ihre Reise

If your socket has already healed, a custom prosthesis can be made in one stay of about 5 to 7 days with 2 to 4 fitting visits. After eye removal surgery you must wait 6 to 8 weeks, so that means a second trip or fitting at home. Polishing once or twice a year is best arranged with an ocularist near you.

• Informieren Sie den Arzt über Medikamente, Allergien, Schwangerschaft oder Stillen und eine Vorgeschichte von Fieberbläschen, Keloidnarben oder Autoimmunerkrankungen
• Vermeiden Sie Alkohol, Aspirin und entzündungshemmende Schmerzmittel für ein paar Tage im Voraus, wenn Ihr eigener Arzt zustimmt, um Blutergüsse zu reduzieren
• Kommen Sie ohne Make-up auf dem Behandlungsbereich an und vermeiden Sie zwei Wochen vorher Sonnenliegen und starke Sonne

Genesung und Ergebnisse

There is no downtime. The socket may water or produce more discharge for a week or two while it adapts. Most people wear the prosthesis day and night and remove it for cleaning only every few weeks, or as advised. It should be professionally polished every 6 to 12 months and replaced about every 5 years in adults, and much more often in growing children. Wear protective glasses to safeguard your seeing eye.

• Zurück zur alltäglichen Aktivität: Keine
• When results show: Immediately at the final fitting
• How long they last: About 5 years in adults before replacement

Sicherheit, Risiken und Revisionspolitik

The fitting itself is low risk. Problems come mostly from the socket and from surface deposits on the acrylic.

• Discharge and irritation from protein deposits or a scratched surface
• Giant papillary conjunctivitis, an allergic-type reaction of the upper lid
• Drooping upper lid or a hollow upper lid groove developing over years
• A poor colour or gaze match needing a remake
• Exposure or migration of the underlying orbital implant, which needs surgery
• Socket contraction if the prosthesis is left out for long periods

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Ocular Prosthetics (Artificial Eyes) in Türkiye

Clinic-Y does not publish a single price for Ocular Prosthetics (Artificial Eyes), because the honest figure depends on your case. What moves it:

• Custom-made versus stock prosthesis
• Whether socket or eyelid surgery is needed beforehand
• The number of fitting visits and any remake
• Children's conformer therapy, which needs repeated changes
• Future polishing and replacement, which are ongoing costs

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