Universität zu Köln

Rokohl, Alexander C., Adler, Werner ORCID: 0000-0001-9791-5407, Koch, Konrad R., Mor, Joel M., Jia, Renbing, Trester, Marc, Pine, Nicola S., Pine, Keith R. and Heindl, Ludwig M. (2019). Cryolite glass prosthetic eyes-the response of the anophthalmic socket. Graefes Arch. Clin. Exp. Ophthalmol., 257 (9). S. 2015 - 2024. NEW YORK: SPRINGER. ISSN 1435-702X

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Abstract

Purpose To investigate mucoid discharge and the inflammatory response of anophthalmic sockets to cryolite glass prosthetic eye wear. Patients and methods A total of 101 cryolite glass prosthetic eye wearers used visual analog scales (0-10) to measure frequency, color, volume, and viscosity of mucoid discharge associated with their prosthesis. Standardized photographs of the conjunctiva of their anophthalmic sockets were taken and conjunctival inflammation was semi-quantitatively graded (0-4). All characteristics of discharge and conjunctival inflammation were correlated to eye loss cause, hand washing behavior, and cleaning regimes as explanatory variables. Results Mean mucoid discharge characteristics (0-10 scale) were frequency 5.3 +/- 2.8, color 4.8 +/- 3.2, volume 4.9 +/- 3.0, and viscosity 5.1 +/- 3.2. The mean conjunctival inflammation score (0-4 scale) was 2.1 +/- 1.0. There was a positive correlation between the grade of conjunctival inflammation and the frequency (p = 0.018), color (p = 0.001), volume (p = 0.003), and the viscosity of mucoid discharge (p = 0.005). More conjunctival inflammation was associated with higher frequency of cleaning (p < 0.001) and lower frequency of hand washing before removal (p = 0.001). Higher frequency, color, volume, and viscosity of discharge were associated with higher frequency of cleaning (p <= 0.001). Conclusions Discharge severity associated with prosthetic eye wear was positively correlated with more conjunctival inflammation, higher cleaning frequency, and less hand washing before handling. The results suggest that cryolite glass eyes should not be removed daily for cleaning and that further research should be undertaken to develop a standardized treatment protocol for managing inflammation and mucoid discharge. This protocol would advise hand washing before handling cryolite glass eyes and recommend a minimum period of wear between cleaning sessions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Rokohl, Alexander C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Adler, Werner UNSPECIFIED orcid.org/0000-0001-9791-5407 UNSPECIFIED Koch, Konrad R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mor, Joel M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jia, Renbing UNSPECIFIED UNSPECIFIED UNSPECIFIED Trester, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Pine, Nicola S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pine, Keith R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heindl, Ludwig M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-143448
DOI:	10.1007/s00417-019-04395-y
Journal or Publication Title:	Graefes Arch. Clin. Exp. Ophthalmol.
Volume:	257
Number:	9
Page Range:	S. 2015 - 2024
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-702X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DEPOSIT BUILDUP; DISCHARGE; WEARERS; FLORA Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14344