Ocular Prosthesis- A Simplified Technique

Case Report

Austin J Clin Case Rep. 2014;1(12): 1061.

Ocular Prosthesis- A Simplified Technique

Mallikarjuna Ragher1*, Aishwarya Chatterjee2, Sanketsopanpatil1, Debopriya Chatterjee3, Mallikarjuna DM1, Swetha V1, Savita Dandekeri1, Pradeep MR4 and Ashwinishetty5

1Department of Prosthodontics, Yenepoya Dental College, India

2SMS Medical College & Hospital, India

3Department of Periodontics, Government Dental College, India

4Department of Prosthodontics, A J Institute of Dental Sciences, India

5College of Dental Sciences, India

*Corresponding author: Mallikarjuna Ragher, Department of prosthodontics, Yenepoya Dental College, Yenepoya University, Mangalore, 515018, Karnataka, India

Received: November 11, 2014; Accepted: December 03, 2014; Published: December 04, 2014


An eye for an eye is what the old saying goes. The eye plays a vital role as one of the six senses. From vision to expression it has its varied functions. Loss of this organ severely damages not only the function of vision but also self-confidence. A case report is presented where in a simple technique is used to provide the subject with an eye prosthesis as rapidly as possible. Also digital reproduction of the iris is made, instead of painting the iris using acrylic or oil painting.

Keywords: Ocular prosthesis; Addition silicone impression material; Conformer; Enucleation


The loss or absence of an eye may be caused due to congenital defect, irreparable trauma, tumour, painful blind eye, sympathetic ophthalmia or the need for histological confirmation of a suspected diagnosis [1]. Surgical procedures in the removal of an eye can be broadly classified as: evisceration (where the contents of the globe are removed leaving the sclera intact), enucleation (most common, where the entire eyeball is removed after severing the muscles and the optic nerve) and exenteration (where the entire contents of the orbit including the eyelids and the surrounding tissues are removed) [2]. In such cases artificial eye prosthesis replaces the natural eye. The art and techniques of artificial eye fabrication date back to remote times. Artificial eye have been in presence since the times of the Egyptians before 3000 BC. It was only after 16th century that artificial eye was made to fit the socket. Ambroise Parre made use of both glass and porcelain eye. Glass was eventually replaced by acrylic during and after the two world wars [3-6].

An ocular prosthesis is a maxillofacial prosthesis that artificially replaces an eye missing as a result of trauma, surgery, or congenital absence. The prosthesis does not replace missing eye lidsor adjacent skin, mucosa or muscle [5]. In this case report an ocular prosthesis was fabricated with digital duplication of iris of the patient.

Clinical Report

A 60 year old male subject reported to the department of Prosthodontics, College of Dental Sciences, Davangere, Karnataka, with chief complaint of misplaced ocular prosthesis. Past history revealed loss of eye due to trauma and subsequent evisceration. Examination of the tissue bed revealed intact muscle bed with residual movements presents (Figure 1).