Welcome Seniors & Caregivers
Your Primary and Secondary Concerns:
You have had the good fortune of living most of your prime
years with binocular vision, and are now faced with the (primary
concern) loss of depth perception, due to the physical loss
of an eye. You have already experienced this monocular
phenomenon by having everything appear closer than it really
is. This was first evident when you poured a cup of
coffee and missed the cup, or you set a glass down and missed
the edge of the table, and when walking you may have misjudged
the depth of a curb. Fortunately, if you must drive
immediately after an eye loss, you will not be bumping into
the car in front of you, or scraping the curb when parallel
parking. In both instances, you will have about a six-foot
gap! To compensate for this loss of depth perception,
you will learn little tricks or techniques in 'seeing and
touching' objects to compensate for monocular sight.
The length of time to adjust varies with the individual.
To hasten your rehabilitation, we can recommend an excellent
book entitled "A Singular View." It describes
"The Art of Seeing With One Eye." The American Medical
Journal says "this book is written
as a manual for the 'newly one-eyed,' and addresses the problems
that occur during daily living with monocular vision."
You may want to check with your local library or possibly
purchase a copy.
The (secondary concern) involves the prosthetic eye replacement.
Here, we can put your mind at ease (because
your concerns are now being shared with your ocularist).
To be aware of the coming event, namely; the process of taking
an impression of the cavity, the trial fitting of a prosthetic
model, the iris painting of your fellow eye and other steps
that lead to the completed prosthesis, you may review the
There you will also find: Hygiene instructions
for care of the prosthesis, eyelids and eye lashes, and
how the prosthesis can be removed
(if necessary) and the proper technique of reinserting
the prosthesis. Being informed prior to our meeting
helps minimize any anxiety you may have.
Your Ocularist Concerns: Unlike
the problems confronted in pediatric ocularistry, where the
congenital abnormalities show a micro-development of the
eyelids and globe, some geriatric related problems following
enucleation of the eye are the direct opposite. Prior
to the newer avascular and porous type implants that were
designed to replace orbital volume loss and provide motility
to the overlying ocular prosthesis, we still have on occasion
experienced patients with moderate to severe laxity of the
external adnexa (skin and muscles in the eyelids).
This can result in a number of aberrations such as: a ptosis
of the upper eyelid (lid droop), an atonal weakness (sag)
in the lower eyelid, and/or following loss of orbital fat
in the superior sulcus, a depression or sinking-in of the
upper lid can occur. Within the cavity, there can be
a gravitational migration of the adipose tissue (orbital
fat that cushioned the eye) resulting in a shallow cul-de-sac
(space under the lower eyelid) and a possible overlap of
this tissue over the implant. In most instances, the
ocularist can compensate for these aberrations by reshaping
the periphery of the ocular prosthesis and modifying its
anterior curvature once a working prosthetic model has been
fashioned from the impression of the cavity. If any
of these described conditions prevail, the time allotted
for the fitting session may be extended.
Some Commonly Asked Questions:
A complete list of all frequently asked questions about ocular
prostheses may be found in our FAQ
index. As always, if you need a specific questions
answered, please ask any of our staff ocularists.