Rokohl, Alexander C., Mor, Joel M., Trester, Marc, Koch, Konrad R. and Heindl, Ludwig M. (2019). Rehabilitation of Anophthalmic Patients with Prosthetic Eyes in Germany Today - Supply Possibilities, Daily Use, Complications and Psychological Aspects. Klinische Monatsblat. Augenheilkunde, 236 (1). S. 54 - 63. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3999

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Abstract

Background A smooth supply with a visually appealing prosthetic eye after enucleation is not just a cosmetic solution, it is also a key factor in successful social and psychological rehabilitation. Objectives This article provides an overview of the current state of medical and ocular care regarding prosthetic eyes in Germany. It focuses mainly on the newest clinical results, daily care, complications, and psychological aspects of wearing prosthetic eyes. Methods The study is comprised of the newest clinical results and a current PubMed literature review. Results In Germany, enucleated patients normally get a double-walled, hollow prosthetic eye made of cryolite glass, and patients with a microphthalmic or phthisic eye receive a thin single-walled prosthesis. Anophthalmic patients wearing cryolite glass prosthetic eyes seem to be more satisfied with their appearance and the look of their prostheses than poly-methylmethacrylate (PMMA) prosthetic eye wearers. Cryolite glass prosthetic eyes must be renewed at least each year, while PMMA prostheses need to be polished once a year and renewed after five years of wearing. Among children, the fit of the prosthetic eye must be checked, based on growth, semiannually. A slightly higher risk of breakage of cryolite glass prostheses is, for most patients, not a great disadvantage in everyday life. Ocularists and ophthalmologists should determine an individual cleaning regime, together with the patient, that is dependent on the material of the ocular prosthesis and other external factors. Complications, such as allergic, giant papillary, viral and bacterial conjunctivitis and blepharoconjunctivitis sicca must be treated at an early stage to allow for a prosthetic eye. In the case of inflammation-caused socket shrinkage or post-enucleation socket syndrome, surgical interventions are needed to re-enable the use of a prosthetic eye. Since the health of the remaining eye is the major psychological burden of prosthetic eye wearers, good ophthalmological care and medical screenings are essential elements. Conclusions A smooth supply with a prosthetic eye, adequate and early treatment of possible complications and attention to psychological aspects is essential for successful long-term rehabilitation of enucleated patients.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Rokohl, Alexander C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mor, Joel M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trester, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koch, Konrad R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heindl, Ludwig M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-139701
DOI: 10.1055/a-0764-4974
Journal or Publication Title: Klinische Monatsblat. Augenheilkunde
Volume: 236
Number: 1
Page Range: S. 54 - 63
Date: 2019
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-3999
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
MEIBOMIAN GLAND DYSFUNCTION; GIANT PAPILLARY CONJUNCTIVITIS; VIVO CONFOCAL MICROSCOPY; ORBITAL IMPLANTS; OCULAR PROSTHESES; DEPOSIT BUILDUP; SOCKET; MANAGEMENT; GLASS; CLASSIFICATIONMultiple languages
OphthalmologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/13970

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