Prosthetics Flashcards
Types of Ocular Prosthesis:
Prosthetic Contact Lens
Prosthetic eye - artificial Eye
Scleral shell - shell prothesis
Orbital implant - orbital prosthesis
Conformer
An artificial device used to replace missing facial or oral structures.
Maxillo-facial Prosthesis
Prosthesis which can be worn over a damage eye, or unremoved eyeball
Scleral shell - shell prothesis
hides or mask corneal opacity or abnormalities
(after an iridectomy or in a case of iris coloboma)
Prosthetic Contact lens
when an eye is removed, it is used to replace the volume in the orbit that was occupied by the eye
prevent a sunken appearance of the orbit
Orbital Implant
Materials used in orbital implant:
Non-porous - do not allow in-growth of organic tissue and fibrovascular in-growth (PMMA, Glass, silicone spheres)
porous - allows fibrovascular in-growth throughout the implant (Hydroxyapatite, polyethylene)
clear, non-water-absorbent spheres of 12 to 20mm diameter, used for implantation after evisceration or enucleation
Polyethylene Beren’s spheres (POROUS)
This implant allows tissue and blood vessel invasion which stabilizes the implant and encourages consistent positioning within the orbit.
Bio-eyeTM hydroxyapatite ocular implant (POROUS)
It is a clear, plastic oval-shaped concave disc placed in the socket over the implant during post of treatment
aids in healing and improves formation of fornices
form a pocket for the prosthesis, and hold the implant well back in the socket.
Conformer
restores the volume and appearance of a missing eye and eyelids
Orbital Prosthesis
Methods of Fitting prosthesis:
Custom fitting or Molding -
Stock fitting - Stock prosthetic eye/hells
variation of standard sets - WAX MODEL
fitting that is:
- well-fitted prosthesis
- Uses impression molding
- More precise copy of the normal eye is possible
Custom fitting or MOLDING
Basic Fitting goals
- Optimum pupil diameter
- Orthophoric appearance
- Stability of fit
Cases of phthisis bulbi or a scarred blind eye may need a ______
thin prosthetic eye or COSMETIC SHELL
is a plastic ocular prosthesis that is essentially a painted haptic lens.
typically, is fitted over an existing globe which may be shrunken, blind or disfigured.
Prosthetic shell