Universität zu Köln

Koch, K. R., Trester, W., Mueller-Uri, N., Trester, M., Cursiefen, C. and Heindl, L. M. (2016). Ocular prosthetics. Fitting, daily use and complications. Ophthalmologe, 113 (2). S. 133 - 143. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0423

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Abstract

Ocular prosthetics make a decisive contribution to the functional, esthetic and psychosomatic rehabilitation of patients after ocular extirpation. This article provides an overview of the fitting, daily care and complications of ocular prosthetics. The study comprised a PubMed literature review and own clinical results. Ocular prosthetics made from cryolite glass or perspex can be manufactured and fitted 5-8 weeks after removal of the eye. During this period a conformer is placed within the conjunctival sac in order to prevent scar formation and shrinking of the socket. Artificial eyes can be worn continuously, only interrupted by a short but regular cleaning procedure. Artificial tears and lid hygiene improve the comfort of wearing. Glass prostheses have to be renewed every 1-2 years, while perspex prostheses need to be polished once a year. Complications, such as giant papillary conjunctivitis or blepharoconjunctivitis sicca are facilitated by poor fit, increased age and inappropriate care of the prosthetic device. In the case of socket shrinkage or anophthalmic socket syndrome, surgical interventions are needed to re-enable the use of an artificial eye. Adequate fitting, daily care of ocular prosthetics and therapeutic management of associated complications are mandatory for a durable functional, esthetic and psychosomatic rehabilitation after ocular extirpation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Koch, K. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Trester, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller-Uri, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Trester, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heindl, L. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-285790
DOI:	10.1007/s00347-015-0091-x
Journal or Publication Title:	Ophthalmologe
Volume:	113
Number:	2
Page Range:	S. 133 - 143
Date:	2016
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANOPHTHALMIC PATIENTS; ORBITAL IMPLANTS; DEPOSIT BUILDUP; EYE; PROSTHESIS; SURGERY; REHABILITATION; SATISFACTION; ENUCLEATION; MANAGEMENT Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28579