Download - Ocular Prosthesis Fabrication
In The Name of GOD
MAXILLOFACIAL CASE PRESENTATION
Fabrication Of Ocular Prosthesis
Presenter:Azade Tadayon fard,
Postgraduate Dept. of Prosthodontics, Dental School,Shahid Beheshti University of Medical Sciences
Personal Information
• Patient: Mr. A.• Age: 76 years old• Gender: male• Occupation: Retired Driver• Marital Status : Married• Socioeconomic Status : Middle class• Patient Motivation : Internal• House Classification : Exacting
3
Chief Complaint
4
خارج (1 خود به خود و شده لق من مصنوعی چشمشود .می
پیدا (2 تجمع پلکهایم اطراف و داخل در ترشحاتکند .می
o Systemic Diseases: Ischemic Heart Disease
o Other conditions: Denieso Medications, OTC: Aspirino Previous Injuries, Hospitalization, etc: Car accident (9 years ago), Previous MIo Allergies: Noneo Smoking: Denies
Past Medical History
6
Extra Oral Examinations
oNeuromuscular
o Lymph Nodes
o Esthetics
EYE ANATOMY
Contents of orbit
1. Eyeball
2. Fascia: Orbital and bulbar
3. Muscles: Extra ocular muscles
4. Vessels: Ophtalmic artery, sup. & inf. Ophtalmic veins and lymphatics.
5. Nerves: Optic, occulomotor trochlear, abducent, branches of ophtalmic nerve and sympathetic nerves.
6. Lacrimal glands
7. Orbital fat
EYE ANATOMY
EXTRAOCULAR MUSCLES
Voluntary muscles1. Four recti: (a) Superior rectus (b) Inferior rectus (c) Medial rectus (d) Lateral rectus
2. Two Obliqui: (a) Superior oblique (b) Inferior oblique
3. Levator palpebrae superioris
EYE ANATOMY
SURGICAL MANAGEMENT
EYE PROSTHESES
• Ocular Prosthesis
• Orbital Prosthesis
AIMS
The perfect artificial eye is one which:• Is comfortable • Shows good movement• Looks normal to the observer• Is easy to look after
Examination
• Ensure proper healing• Absence of infection• Movement of tissue bed• Type of surgery done• Size and extent of the socket• Amount of orbital adipose tissue present• Extent of atrophy of muscles
TECHNIQUE
IMPRESSION TECHNIQUES
• Direct/ external impression• Impression with a stock ocular tray (modified
impression method)• Impression with custom ocular tray• Impression using a stock ocular prosthesis• Ocular prosthesis modification• The wax scleral blank technique
Wax Replica
Scleral Blank
Iris Disc
Iris Location
Pupil Painting
Veining
Before After
It’s the God-given right of every human being to appear a human…
Thank You!