Abstract: Essentials in Fitting Ocular Prostheses
for Complex Congenital and Acquired Anomalies
Raymond C. Jahrling, B.C.O., F.A.S.O.
ocular prosthetic services is an important aspect
of total patient care. A patient who has lost
an eye to injury, inflammation, or tumor experiences
emotional and psychological trauma similar to that
experienced by an amputee. Congenital absence
also creates a special set of circumstances.
A prosthesis that is lifelike in appearance is a
comfort to the patient, and the physical wearing
comfort becomes a primary prerequisite for the patient.
CASE REPORTS: A variety
of congenital and acquired anomalies are used to
illustrate the clinical application of modern-day
materials used to fabricate and fit ocular prostheses.
A comprehensive evaluative protocol is also presented.
CONCLUSION: New materials
and better fitting techniques allow more patients
to wear prostheses with greater comfort and cosmetic
approval. The primary care (ophthalmologist
and) optometrist should be familiar with the options
available to the patient and the standard of care
in evaluation of patients who wear a prosthesis.
KEY WORDS: adnexa,
blindness, congenital anomalies, enophthalmos, ocular
Published in Journal of the American Optometric Assocication 1998;69:357-376
Back to List of Publications