Designing Manufacture and Clinical Application of The Individual Ocular Prosthesis

【Objective】To manufacture the individual ocular prosthesis for the patients undergoing enucleation and primary orbital implant,and determine the clinical effects and complications associated with the individual prosthesis.【Methods】All cases had individual prosthesis custom-made 2 weeks later because of their dissatisfaction with ready-made prosthetic eye.The width of bilateral palpebral fissures and exophthalmus were measured respectively for the patients wearing two types of prosthesis,the horizontal excursions were evaluated meanwhile.All the patients were consulted with 5 main indices of the individual prosthesis: shape,color,motility,fixation and comfort.【Results】Compared with ready-made prosthesis,individual prosthesis was more approximate to the other eye regarding the width of palpebral fissures and the degree of protrusion.Moreover,there had been an improvement in horizontal motility of individual prosthesis.All the patients gave satisfactory comments on the 5 main indices of the individual prosthesis: shape 92.6%,color 88.9%,motility 81.5%,fixation 100% and comfort 92.6%.The complications of the individual prosthesis were infrequent and minor.【Conclusion】The individual prosthesis is appropriate for the patients with intraorbital implant after enucleation while it is preferable due to its cosmetic aspect.It is considerable and prospective to manufacture individual ocular prosthesis referring to the character of the other eye.