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Welcome to this portion of our web site if you have just been directed here by one of the web search engines.  This pictorial segment of our informational web site should be of interest to all prospective wearers of a plastic artificial eye prosthesis, especially if their eye is to be (or was) surgically removed, or if their eye is dysfunctional and unsightly.  In either instance, the search is for restoration of facial symmetry.  An old adage still cited is that "a picture is worth 10,000 words."  This quotation may be true for land and seascapes, where ones imagination is put to use, but, when aberrant changes that affect the human eye and its surrounding anatomical structure a simple display of 'before and after' photographs requires more of an explanation.  In the following case presentations we will provide a diagnosis or history of the patient, and offer other pertinent information relating to the type of prosthesis that was fabricated and fitted.  This will be a composite of case results from our pediatric to geriatric patient files covering a range of orbital and eyelid conditions.

Our ambition is to show some of the results from several of our published articles relating to congenital anomalies such as the lack of an eyeball at birth and various stages of partially developed globes and underdeveloped eyelids.  In addition to this, there will be a series of pictures of patients who had acquired impairments following trauma, systemic disease and/or post-operative procedures that affected normally developed eyes.  This will include cases with diagnoses such as blind, scarred, disfigured globes requiring various types of scleral cover shell prostheses.  Other conclusions will show results following enucleation (removal of the eye), evisceration (removal of the contents of the eye), exenteration (radical removal of the orbital contents which could include the eyelids) and severe injuries involving partial loss of the eyelids.

The following excerpts are referenced from past continuing educational courses we have presented at American Society of Ocularists meetings; and authored articles from the featured cover story for the Journal of the American Optometric Association of June 1998, entitled "Essentials in Fitting Ocular Prostheses for Complex Congenital and Acquired Anomalies", and from an extensive chapter relating to "The Role of the Ocularist" in Michael E. Migliori, M.D., F.A.C.S. edited ophthalmic book entitled "Enucleation, Evisceration and Exenteration of the Eye".  Published by Butterworth-Heinemann in 1999.