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    Home Oculoplasty

    Artificial Prosthetic (False) Eye Fitting Post Enucleation Evisceration Eye Removal Surgery

    Debraj Shome by Debraj Shome
    12 November, 2018
    in Oculoplasty, Plastic and Reconstructive Surgery
    2
    Artificial Prosthetic (False) Eye Fitting Post Enucleation Evisceration Eye Removal Surgery
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    There’s absolutely nothing worse than losing eyesight or being blind or not being able to see with one eye. Well, there’s, loss of sight in both eyes is even unwelcoming! But, the things I have always been attempting to highlight is that a couple of individuals appreciate that loss of sight/ vision in even one of the eyes can seriously affect day to day tasks involving visual field and binocular eyesight – For instance, tasks as easy as evaluating the level of water in a bucket or climbing down stairs. Nevertheless, if you do lose eyesight in one of the eyes, what can be even worse is the look that individuals give you whenever they look at you – Your one eye appears smaller, shrunken, whitish – Other people look at you with shock, shame and it’s these looks which impacts patients’ psyche even more sometimes than the loss of the eye itself. That’s the reason individuals whom lost an eye would earlier put on a pirate spot/ patch! Does anyone else need to understand you’ve lost an eye? Do you need to look abnormal? The firm response to this might be NO – You can get a Cosmetic, Oculoplastic operation done and can be fitted with a customized, artificial, handmade, false prosthetic eye (ocular prosthesis), which appears and moves simply like your other normal eye. These days ocular prostheses do NOT appear like the earlier day glass eyes and contemporary oculoplastic socket surgery guarantees that you can look and lead an absolutely normal life.

    Blind Eye Ocular Prosthesis

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    A blind eye (Pthisis bulbi, additionally known as Small Eye / Atrophic bulbi / Shrunken Eye), happens post an injury / trauma to the eye (ocular trauma), eye surgery and eye infections (inflammations). Damage to the eye can involve damage with sticks, cricket balls and also bomb blasts, as seen by us in numerous customers from Iraq, Iran, Sri Lanka, and Syria. Phthisis Bulbi or a painful, Blind eye does not have any eyesight (vision). Also even worse, the blind, damaged eye can cause sympathetic ophthalmitis (an auto-immune, reactive condition), which can then cause blindness also in the other eye that is normal. Thus, in an eye with no visual potential, it may be advisable to remove the eye (by means of evisceration, enucleation, surgery for removal of the eye), place a silicone / acrylic ball implant surgically (to change the volume of the extracted eye) and as an alternative fit in a synthetic, custom made ocular prosthesis (false eye). A well fitted ocular prosthesis appears and moves simply like a normal eye and it won’t be easy even for people to say if the eye is false or real!

    Enucleation surgery is also carried out post intra-ocular tumors (eye cancer), like retinoblastoma and cancerous melanoma of the choroid. In a situation when there is a big, blind eye (as in an anterior staphyloma formed post eye injury), an evisceration surgery can be done. In an evisceration, the sclera (white section) of the diseased eye is remaining behind, with the ocular muscles attached – This guarantees a great motility (motion) of the ocular prosthesis. A new method of enucleation known as myoconjunctival enucleation, leads to exceptional ocular prosthesis motility. Prosthesis fitting is additionally done post exenteration surgery, in which the eye as well as the ocular adnexa (tissues surrounding eyes, including eyelids), are entirely eliminated. Exenteration surgery is done post severe skin cancers and infiltrative eye cancers.

    Video of Patient with Artificial Prosthetic Eye:

    Artificial Eye Fitting Artificial Eye Fitting (False Eye/ Ocular Prosthesis) Prosthetic Eye Fitting Surgery in Mumbai,India

    In this video, the patient Ms. Surti, is a 25 year old girl, living in Mumbai, India. Ms. Surti suffered from an injury to her eye at the age of five (5), with a stick, which made the girl’s eye smaller and she lost eyesight completely. This event and the harm to her appearance (because the tiny, right eye made her look weird / abnormal), made her lose her confidence and she could  perhaps not carry on with a regular life. Even though eyesight can never ever be restored in the woman’s right eye (the affected eye), Ms. Surti can definitely look normal and lead a regular life. No one else ever requires to know that she does perhaps not have one eye.

    See the Artificial Eye Fitting Treatment Before After Photos-

    [Show slideshow]
    Facial-Trauma-1
    Facial-Trauma-2
    Facial-Trauma-3
    Facial-Trauma-4
    False-Eye-Fitting-1

    Ms. Surti underwent an advanced, myoconjunctival enucleation surgery, with silicone ball implantation, used by a custom made artificial eye (ocular prosthesis) installing. This woman’s right eye today appears cosmetically precisely like her normal, left eye. This surgery has restored Ms. Surti’s self-confidence and she has later gone on to lead an absolutely normal personal as well as professional life.

    In summary, you can look and lead a normal life, even after you have lost one eye. No one else is required to know the status of your eye or behave with you in any manner, that is less than NORMAL!

    Published Research Journal Reference: 

    Implant and prosthesis movement after enucleation: a randomized controlled trial. Shome D, Honavar SG, Raizada K, Raizada D. Ophthalmology. 2010 Aug;117(8):1638-44.

    Oculoplasty & Oculoplastic Surgery in India

    Oculoplasty Surgery is a fast growing super-specialty in India, with many institutes now offering fellowship training programs for young oculoplastic surgeons. For eyelid, orbital, brow, lacrimal, socket and mid-face surgery, please seek and look for a good Oculoplastic surgeon, Mumbai, Delhi, Chennai, Hyderabad, Kolkata, Pune and most other Indian cities will have a few. Most of the top oculoplastic surgeons are trained in the Western world and have come back to India post that and costs will be 1/5th the costs you would pay in the US, Europe or Singapore. Read more on oculoplastic and eyelid surgery in our oculoplastics and oculoplastic surgery section on this blog.

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    Tags: artificial eyeblindCosmetic Surgeryenucleationeviscerationexenterationeyeeye surgeryfalse eyeNewsprosthesisTop Stories
    Debraj Shome

    Debraj Shome

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    Dr. Debraj Shome, Co-Founder & Director, The Esthetic Clinics, is a super speciality trained in facial plastic surgery & facial cosmetic surgery. Dr. Shome is currently a Consultant at the Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Apollo Spectra hospital and S L Raheja Fortis hospital in Mumbai, India. He has 50+ research papers in international journals, numerous presentations at conferences & many awards. A celebrity surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life
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