P2 - Prosthesis Flashcards
What are the common ocular diseases that causes removal of eyeball
Eye tumor
Choroidal melanoma
Retinoblastoma
End stage glaucoma
Phthisis bulbi
Anophthalmos
Micophthalmos
Perforation of the cornea
Atrophy of the eyeball
Eye trauma/injury
a collection of cells that grows abnormally, and can be malignant (cancerous) or benign (noncancerous)
Eye tumor (Ocular tumors)
2 types of eye tumor
- Metastatic ocular tumor
- Ocular melanoma
common type of eye tumor, secondary tumor caused by cancer that has spread from one part of the body to another
Metastatic Ocular Tumor
Metastatic ocular tumor often comes from which parts of the body
Lung, breast, bowel or prostate
the most common primary adult tumor that forms in the eye
Ocular melanoma
Ocular melanoma other names
Uveal melanoma and Choroidal melanoma
it forms from the pigmented cells in the eye and occurs in three main areas of the eye
Ocular melanoma
Ocular melanoma occurs in which three main areas of the eye
Iris
Ciliary body
Choroid
Types of Ocular surgery in removing the eyeball
Enucleation
Evisceration
Exenteration
type of craniofacial prosthesis that replaces an absent natural eye following enucleation, evisceration, or orbital exenteration
Ocular prosthesis
a permanent solid spherical implant (ball), placed deep within the socket to compensate for the loss of volume
Orbital implant
In orbital implant, the ______ which moves the eye are reattached to this implant
muscles
Orbital implant: ___________ (including conjunctiva) are stitched over the front surface of this implant which remains permanently covered
Superficial membranes
complete removal of the eyeball preserving all orbital structure
Enucleation
this involves removal of the entire eyeball (includes sclera)
Enucleation
Indication for Enucleation (EPMP)
- Endophthalmitis - unresponsive to antibiotics
- Painful eyes with no useful vision
- Malignant intraocular tumors
- Phthisis bulbi with degeneration
complete removal of the contents of the eye (cornea, iris, crystalline lens, retina) with retention of sclera & EOM
Evisceration
In Evisceration, what contents of the eye are removed
Cornea
Iris
Crystalline lens
Retina
Evisceration: sclera is not removed but used as a ________
natural wrapping material to cover ball implant
this operation is easier to perform but cannot be undertaken for patients who have eye tumor
Evisceration
Advantage of Evisceration
- Easier to perform
- Fast recovery for patient
Indication for Evisceration (EI)
- Endophthalmitis
- Improvement of cosmetics in the blind eye
removal of the entire orbital contents (eye, eyelids, bony orbit)
Exenteration
surgical removal of the eyeball and surrounding tissues, including eyelids (extent depends on disease being treated)
Exenteration
Indication for Exenteration
Large eye tumor
Types of Prosthetic Eye
- Scleral Cover Ocular Prosthesis
- Orbital Prosthesis
specific type of ocular prosthesis that is fit and fabricated over the person’s existing eye
Scleral Cover ocular prosthesis
these prosthesis cover the entire surface of a cosmetically blemished eye, restoring the eye to its natural appearance
SCOP
Primary function of SCOP
To replace the volume deficiency of the smaller than normal eye
SCOP: Lack of eyelid support will result to
- Narrowing of the eyelid opening
- Superior eyelid ptosis
Benefits/advantage of SCOP (PPRPM)
- Prevent surgical disruption (evisceration/enucleation) of the orbital contents
- Prevent pseudo blepharoptosis (sagging upper eyelid) caused by global volume loss (phthisis)
- Reduce ectropion by providing support to a prolapsed lower eyelid
- Prosthetic eye moves together with the other eye
- More affordable
type of customized ocular prosthesis that replaces removed facial structure due to condition such as Large Eye tumor via Exenteration
Orbital Prosthesis
restores the appearance of the eyeball & eyelids & may include eyebrow, part of the forehead, nose, or cheek.
Orbital prosthesis
Primary function of Orbital prosthesis
Serves as a major morale booster in these patients by combating the physical and emotional
Advantages of Orbital prosthesis
Symmetrical facial structure
Disadvantage of orbital prosthesis
- Eye does not move together with other eye when looking up, down, side to side
- Asymmetrical facial expression
- Expensive