The eye is a vital organ and an important part of facial expression. Loss of one or both eyes causes social, psychological and physical distress to the patient. The aim of an ocular prosthesis is to restore the facial appearance, improve self-confidence and social acceptance. There are various materials and techniques used for the fabrication of the ocular prosthesis. Advantage of custom ocular prosthesis over stock eye prosthesis includes better movements of the eyelid, even distribution of pressure, thereby reducing the chances of trauma to the tissue bed, better fit, comfort and esthetics. With the custom ocular prosthesis size, shape, color of the iris, pupil and sclera can be properly customized making it look more natural. This article illustrates rehabilitation of the eviscerated right eye of a 28-year-old male with a custom-made ocular prosthesis with manual painting of iris and sclera with oil colors.
Raflo GT. Enucleation and evisceration. In: Tasmun W, Jaeger E, ed. Duane's Clinical Ophthalmology, revised ed., vol. 5 Phildelphia: Lippincott-Raven; 1995. pp. 1–25.
Parr GR, Goldman BM, Rahn AO. Surgical considerations in the prosthetic treatment of ocular and orbital defects. J Prosthet Dent 1983;49(3):379–385. DOI: 10.1016/0022-3913(83)90281-0.
Benson P. The fitting and fabrication of a custom resin artificial eye. J Prosthet Dent 1977;38(5):532–538. DOI: 10.1016/0022-3913(77)90029-4.
Tripuraneni SC, Vadapalli SB, Ravikiran P, et al. An innovative impression technique for fabrication of a custom made ocular prosthesis. Indian J Ophthalmol 2016;63(6):545–547. DOI: 10.4103/0301-4738.162626.
Parr GR, Goldman BM, Rahn AO. Postinsertion care of the ocular prosthesis. J Prosthet Dent 1983;49(2):220–224. DOI: 10.1016/0022-3913(83)90506-1.
Lubkin V, Sloan S. Enucleation and psychic trauma. Adv Ophthalmic Plast Reconstr Surg 1990;8:259–262.
Gordon B. The ancient origins of artificial eyes. Annuals of Medical History, 3rd ed., series 2 New York: Paul B. Hoeber; 1940; p. 58.
Goiato MC, Micheline D, Dds H, et al. An alternate impression technique for ocular prostheses. J Prosthodont 2013;22(4):338–340. DOI: 10.1111/j.1532-849X.2012.00945.x.