Rehabilitation Of An Anophthalmic Socket Through Modification Of An Existing Ocular Prosthesis: A Case Report
Abstract
Ocular prostheses play a crucial role in restoring both functional and esthetic outcomes for patients with anophthalmia. However, long-term complications such as iris discoloration are frequently encountered and often require clinical intervention. This case report describes the esthetic rehabilitation of a discolored ocular prosthesis in a 50-year-old male who had been wearing the prosthesis for three years. The discoloration, which compromised facial symmetry and patient confidence, was managed through a conservative and cost-effective approach. The procedure involved removal of the discolored iris, digital imaging of the contralateral eye, and fabrication of a new iris using high-resolution digital photography, followed by repolishing and reinsertion without altering the original scleral structure. The outcome demonstrated excellent esthetic integration and high patient satisfaction, eliminating the need for complete prosthesis replacement. This report highlights the clinical value of digital iris reproduction as a minimally invasive, time-efficient, and cost-effective technique for ocular prosthesis modification.
Keywords
Ethical Statement
This case report was conducted in accordance with the principles of the Declaration of Helsinki. Ethical approval was obtained from the Health Research Ethics Committee of [Institution Name], under approval number 065/KEPK FKG-RSGMP UH/EA/XI/2024, date: November/14/2024. Written informed consent was obtained from the patient for participation in this study and for the publication of clinical information and accompanying images. All identifying details have been omitted to ensure patient anonymity.
Supporting Institution
Department of Prosthodontics, Faculty of Dentistry, Hasanuddin University and Academic Dental and Oral Hospital, Faculty of Dentistry, Hasanuddin University
Thanks
We are grateful to Mr. Astiar Arli, Dental Technician, Corona Dental Lab., Makassar City, Indonesia, for his laboratory work.
References
- 1. Ikbal M, Mude AH, Machmud E, Dammar I, Utama MD, Thalib B, et al. Modification of techniques in the fabrication of ocular prostheses: a case report. Enferm Clin 2019;30(S2):510-513.
- 2. Wagaj H, Dixit S, Deshpande S, Mete J. A simplified method to fabricate semi-customized ocular prosthesis: a case report. Int J Adv Health Sci 2016;3(1):15-18.
- 3. Van Renterghem V, Ruiters S, Mombaerts I. Motility of the ocular prosthesis in anophthalmic patients: objective and patient-perceived findings. Orbit 2023;42(4):383-388.
- 4. Shankharan G, Deogade SC, Dhirawani R. Fabrication of a cranial prosthesis combined with an ocular prosthesis using rapid prototyping: a case report. J Dent (Tehran) 2016;13(1):68-72.
- 5. Rasmussen ML. Complications from eye prosthesis. Ugeskr Laeger 2008;170:2456-2458.
- 6. Hippargi PB, Gandhi P, Sheth NA. A relining technique for an ocular prosthesis: a case report. IOSR J Dent Med Sci 2018;17(3):78-83.
- 7. Goutam M, Chandu GS, Gupta S, Shrivastava A, Singh M. A technique for changing the shade of a custom-made ocular prosthesis. J Prosthet Dent 2015;114(1):149-150.
- 8. Fernandes AUR, Goiato MC, Jacó Batista MA, dos Santos DM. Color alteration of the paint used for iris painting in ocular prostheses. Braz Oral Res 2009;23(4):386-392.
- 9. Moreno A, Goiato MC, Oliveira KF, Iyda MG, Haddad MF, Dekon SFC, et al. Color stability of the artificial iris button in an ocular prosthesis before and after acrylic resin polymerization. Cont Lens Anterior Eye 2015;38(6):414-418.
- 10. Koch KR, Trester W, Müller-Uri N, Trester M, Cursiefen C, Heindl LM. Ocular prosthetics: adjustment, handling and complications. Ophthalmologe 2016;113(2):133-142.
- 11. Smith RM. Relining an ocular prosthesis: a case report. J Prosthodont 1995;4:160-163.
- 12. Al-Oulabia A, Al Rawasa M, Farookb TH, Rashidb F, Barmanb A, Jamayetc N, et al. The loss of an eye due to occupational injury: two case studies of ocular prosthetic rehabilitation. Work 2021;69(3):865-870.
- 13. Kocacikli M. An alternative technique using digital photography and UV printing for fabricating a custom-made ocular prosthesis. Int J Artif Organs 2023;46(3):135-140.
- 14. Mundim FM, Antunes PL, Souza ABS, Garcia LFR, Souza FCP. Influence of artificial accelerated ageing on the colour stability of paints used for ocular prosthesis iris painting. Gerodontology 2012;29(2):312-317.
- 15. Reis RCD, Dias RBE, Carvalho JCM. Evaluation of iris color stability in ocular prosthesis. Braz Dent J 2008;19(4):370-374.
- 16. Ginting J, Tamin HZ, Ritonga PWU. Novel approach in iris shade matching: mobile photography and custom ocular shade guide. Indones J Prosthodont 2021;2(2):56-60.
- 17. Ozden YE, Erzincanli A, Bal B, Ozkurt Kayahan Z, Kazazoglu E. Effectiveness of calibrated digital photography technique in dental shade analysis. Cumhuriyet Dent J 2022;25(3):224-229.
Abstract
References
- 1. Ikbal M, Mude AH, Machmud E, Dammar I, Utama MD, Thalib B, et al. Modification of techniques in the fabrication of ocular prostheses: a case report. Enferm Clin 2019;30(S2):510-513.
- 2. Wagaj H, Dixit S, Deshpande S, Mete J. A simplified method to fabricate semi-customized ocular prosthesis: a case report. Int J Adv Health Sci 2016;3(1):15-18.
- 3. Van Renterghem V, Ruiters S, Mombaerts I. Motility of the ocular prosthesis in anophthalmic patients: objective and patient-perceived findings. Orbit 2023;42(4):383-388.
- 4. Shankharan G, Deogade SC, Dhirawani R. Fabrication of a cranial prosthesis combined with an ocular prosthesis using rapid prototyping: a case report. J Dent (Tehran) 2016;13(1):68-72.
- 5. Rasmussen ML. Complications from eye prosthesis. Ugeskr Laeger 2008;170:2456-2458.
- 6. Hippargi PB, Gandhi P, Sheth NA. A relining technique for an ocular prosthesis: a case report. IOSR J Dent Med Sci 2018;17(3):78-83.
- 7. Goutam M, Chandu GS, Gupta S, Shrivastava A, Singh M. A technique for changing the shade of a custom-made ocular prosthesis. J Prosthet Dent 2015;114(1):149-150.
- 8. Fernandes AUR, Goiato MC, Jacó Batista MA, dos Santos DM. Color alteration of the paint used for iris painting in ocular prostheses. Braz Oral Res 2009;23(4):386-392.
- 9. Moreno A, Goiato MC, Oliveira KF, Iyda MG, Haddad MF, Dekon SFC, et al. Color stability of the artificial iris button in an ocular prosthesis before and after acrylic resin polymerization. Cont Lens Anterior Eye 2015;38(6):414-418.
- 10. Koch KR, Trester W, Müller-Uri N, Trester M, Cursiefen C, Heindl LM. Ocular prosthetics: adjustment, handling and complications. Ophthalmologe 2016;113(2):133-142.
- 11. Smith RM. Relining an ocular prosthesis: a case report. J Prosthodont 1995;4:160-163.
- 12. Al-Oulabia A, Al Rawasa M, Farookb TH, Rashidb F, Barmanb A, Jamayetc N, et al. The loss of an eye due to occupational injury: two case studies of ocular prosthetic rehabilitation. Work 2021;69(3):865-870.
- 13. Kocacikli M. An alternative technique using digital photography and UV printing for fabricating a custom-made ocular prosthesis. Int J Artif Organs 2023;46(3):135-140.
- 14. Mundim FM, Antunes PL, Souza ABS, Garcia LFR, Souza FCP. Influence of artificial accelerated ageing on the colour stability of paints used for ocular prosthesis iris painting. Gerodontology 2012;29(2):312-317.
- 15. Reis RCD, Dias RBE, Carvalho JCM. Evaluation of iris color stability in ocular prosthesis. Braz Dent J 2008;19(4):370-374.
- 16. Ginting J, Tamin HZ, Ritonga PWU. Novel approach in iris shade matching: mobile photography and custom ocular shade guide. Indones J Prosthodont 2021;2(2):56-60.
- 17. Ozden YE, Erzincanli A, Bal B, Ozkurt Kayahan Z, Kazazoglu E. Effectiveness of calibrated digital photography technique in dental shade analysis. Cumhuriyet Dent J 2022;25(3):224-229.
Details
| Primary Language | English |
|---|---|
| Subjects | Prosthodontics |
| Journal Section | Case Report |
| Authors | |
| Submission Date | October 8, 2025 |
| Acceptance Date | January 19, 2026 |
| Publication Date | March 27, 2026 |
| DOI | https://doi.org/10.7126/cumudj.1799244 |
| IZ | https://izlik.org/JA56ZK95NJ |
| Published in Issue | Year 2026 Volume: 29 Issue: 1 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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