All patients are initially assessed by
Oculoplastic surgeon to evaluate the ocular adnexa and
a realistic expectation is explained to the patient before
starting the procedure. The patients who meet the requisite
criteria for good outcome are explained the procedure
well in advance to avoid any anxiety or apprehension regarding
the procedure.
The procedure is essentially painless
and includes instillation of Alginate
paste in the eye socket under the impression
tray to get the impression of eye socket.This impression
is translated into a wax model
and after due treatment, this wax model is tried in
the patient's eye socket for fit. The wax model is marked
for the location of iris painting and a PMMA
trial model is made that is ready for painting
and trial.
After completion
of painting the trial model is fitted in the
socket to assess the final outcome. Once the Ocularist
and the patient are satisfied with the result, the final
PMMA model is made and polished to remove all
rough edges and surfaces. The final model is absolutely
smooth and does not have any rough spots.
After dispensing the prosthesis the
patients are educated for the care of the prosthesis
as well as protection of the other normal eye.The entire
procedure takes about 12 hours that is divided in two
days and patient can walk out with a custom ocular prosthesis
on the 2nd day of appointment.
In case the eye socket is inadequate
for good prosthesis fit the options of surgical correction
are discussed with the patients and a realistic expectation
is explained to the patient based upon our previous
experience and results. The surgeries are performed
by Oculoplastic surgeon Dr.
Raj Anand and thus patients get complete care for
lost/disfigured eye under one roof.
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