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 Table of Contents    
CLINICAL PRACTICE
Year : 2014  |  Volume : 7  |  Issue : 3  |  Page : 156-157  

Interdisciplinary approach: A boon for ocular rehabilitation


1 Department of Prosthetic Dentistry, Dr. DY Patil Dental College and Hospital, DP University, Pune, Maharashtra, India
2 Department of Prosthetic Dentistry, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India

Date of Web Publication11-Oct-2014

Correspondence Address:
Shital J Sonune
S No 29/1, Vighnaharta Nagar, Katraj Kondhawa Road, Katraj, Pune - 46, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.142604

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How to cite this article:
Sonune SJ, Sharma D, Nirmal N, Mehta S. Interdisciplinary approach: A boon for ocular rehabilitation . Oman J Ophthalmol 2014;7:156-7

How to cite this URL:
Sonune SJ, Sharma D, Nirmal N, Mehta S. Interdisciplinary approach: A boon for ocular rehabilitation . Oman J Ophthalmol [serial online] 2014 [cited 2020 Feb 21];7:156-7. Available from: http://www.ojoonline.org/text.asp?2014/7/3/156/142604

The face and eyes not only reveal identity but also communicate the intent of our words. The loss of a vital bodily organ such as the eye is not only traumatic but produces grief and irreversible loss of function. As the so-called mirror of the soul has been the focus of many disciplines, hence successful rehabilitation of an individual who has lost an eye requires attention of several of specialists like Ophthalmologist, Psychologist, Plastic Surgeon and Maxillofacial Prosthodontist. [1]

It can be stated that where the work of a plastic surgeon ends, the work of maxillofacial prosthodontist begins. The demand for a maxillofacial prosthetic device for the rehabilitation of patients has intensified in the recent years. [2] The art of making artificial eyes has been known to man for centuries. [3] The two difficult challenges for maxillofacial prosthodontist are superior sulcus deformities from inadequate orbital volume and eyelid ptosis or laxity.

Implant retained ocular prosthesis would be the best approach to rehabilitate an anopthalamic eye, if not for economic and systemic factors. The next preferred technique is the custom-made ocular prosthesis. The advantages of customized ocular prosthesis is improved adaptation to underlying tissues, increased mobility of prosthesis, improved facial contours and control over the size of iris, pupil and color of the iris and sclera. As per literature fabrication of custom-made ocular prosthesis, it involves complex painting procedures, high skill and expertise of the dentist. [4],[5]

Hence, in this clinical report using patient's stock eye shell [Figure 1], custom-made ocular prosthesis was fabricated with a simple, reversible and economical technique. An impression of the anopthalamic socket was made with a good quality alginate in first clinical step and orientation with trial of the wax pattern-stock eye assembly was done during the second step [Figure 2] and [Figure 3]. In the third appointment, the prosthesis was inserted [Figure 4]a and b. In this case, as the stock eye shell was already been selected for the patient by his ophthalmologist, the work of the maxillofacial prosthodontist was made much easier and simpler.
Figure 1: Unaesthetic look with existing stock eye shell

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Figure 2: Orientation of a wax sclera pattern for correct gaze

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Figure 3: Trial of wax pattern-stock eye assembly

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Figure 4: (a and b) Superior natural appearance with customized ocular prosthesis

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As it is quoted very well "coming together is a beginning, working together is a progress and achieving together is a success", the work of an ophthalmologist and maxillofacial prosthodontist creates custom ocular prosthesis but what we give patients can be much more improved self-esteem and the confidence necessary for them to return to an independent and productive living. An interdisciplinary approach can work wonders for even the utterly hopeless cases; we only need to widen our approach.


   Acknowledgements Top


I am deeply thankful to Dr. Sachin Sarode and Dr. Gargi Sarode for all constructive suggestions and sincere, untiring efforts in proofreading.

 
   References Top

1.
Mishra SK, Chowdhary R. Reproduction of custom made eye prosthesis maneuver: A case report. J Dent Oral Hyg 2009;1:59-63.  Back to cited text no. 1
    
2.
Chalian VA, Drane JB, Standish SM. Maxillofacial Prosthetics: Multidisciplinary Practice. Baltimore: Williams and Wilkins; 1972. p. 286-94.  Back to cited text no. 2
    
3.
Beumer J, Curtis A, Marunick MT. Maxillofacial Rehabilitation: Prosthodontic and Surgical Considerations. St Louis: Ishiyaky Euro America; 1996. p. 377-453.  Back to cited text no. 3
    
4.
Taylor TD, editor. Clinical Maxillofacial Prosthesis. London: Quintenssense Publication; 1998. p. 265-77.  Back to cited text no. 4
    
5.
Artopolou II, Montgomery PC, Wesley PJ, Lemon JC. Digital imaging in the fabrication of ocular prostheses. J Prosthet Dent 2006;95:327-30.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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