Cleansing of the Hands:
It should be noted that bacteria that frequently causes conjunctivitis
and socket infections exists on the skin. It is therefore
advised, that whenever handling the scleral ocular prosthesis,
the hands should be thoroughly scrubbed, with emphasis on
Cleansing of the Eyelids and Eyelashes:
Facial cleansing of the eyelids and eyelashes (with
or without the scleral prosthesis in position) would require
the application of a warm wet face cloth (with a 'no more
tears' baby shampoo) to soften and remove any hardened secretion.
The recommended baby shampoo will not irritate the tissues
or the eyes since it has a neutral pH, and it destroys bacteria.
Also, when it becomes necessary to wipe your eye with the
prosthetic shell in position, remember to wipe toward the
nose. The reason for this is to prevent rotation of
the prosthesis, or cause it to fall out.
Cleansing the Scleral Ocular Prosthesis:
Removal and cleansing of the prosthesis is a daily routine
for patients who have a clear and sensitive cornea.
Other patients who have a calcified and insensitive cornea
or lack of a cornea have the option to remove it every other
day or up to once a month.
The scleral prosthesis must always be cleansed immediately
after it is removed. This is to prevent further drying
of tears and/or secretion on its surface. Any of the
solutions for hard or soft contact lenses may be used, however,
this laboratory recommends the use of a soft wet face cloth
with the 'no more tears' baby shampoo as the simplest and
least time consuming method. Gently rub the prosthesis
to remove any hardened protein deposits. (This would
appear as a dull film on the surface when the shell is dry).
Rinse well and check under a bright light, the prosthesis
should have a glossy appearance.
Tears and Secretions: Since
there has been an anatomical change within the orbit, the
lacrimal duct may not function for the proper drainage of
tears. It is, therefore, recommended that you carry
a pocket pack of tissue with you, and use them when necessary
to remove tears and secretions from the lids, eyelashes and/or
the surface of the scleral prosthesis. The average
amount of wiping is three to five times a day. Avoid
the use of a handkerchief or the bare fingers.
If you have sinus, hay fever, asthma
or a cold in your system, expect and increased amount
of tearing and secretion. This is a natural experience. If
the underlying tissue appears red (under the lower lid),
rather than pink, it may require removal and cleansing of
the scleral prosthesis three times a day until the secretions
- Never place
the prosthesis in alcohol or other harsh chemical substance,
this can damage the plastic surface and cause irritation
to the conjunctival
Periodic follow-up appointments should be scheduled for evaluation
of fit, and to check for minute surface scratches which would
require a re-glazing of the surface. This will be determined
on an individual basis.