Enucleation and Prosthetic Eye
The eyes are one of the most important parts of every one’s body. It is actually the most highly developed sensory organs. However, there are some times that man tend to take eyesight for granted and eye problems develop that may lead to surgery and eye removal. However, there are already several available eye treatment and surgeries that one may choose when time comes that there’s a need for it. Enucleation and the use of prosthetic eyes are just some of them.
What is Enucleation and Prosthetic Eye?
Enucleation is the surgical process of removing the entire eye which may be due to a severe injury or pain to the eye, tumors, infection, last stages of glaucoma, or cancer in the eye while the muscles and tissues that surround the socket are kept intact. After the surgical process, the individual is provided with an artificial or prosthetic eye which will be used to replace the eyeball that was removed. In most cases, the prosthetic eye is attached to the eye muscles in order to preserve eye movement which helps make the artificial eye look natural. Enucleation becomes necessary for an individual especially when he or she feels severe pain in the partially or completely blind eye because of the diseases or illnesses mentioned. Taking the surgical process would treat particular eye diseases and alleviate the pain in a patient's eye. It would also improve the quality of their life greatly (Kelly, 2018).
When Enucleation and Prosthetic Eye are needed?
Valeshabad (2014) found out that relatively, pain in the blind eye is the most common indication of surgery which is followed by leukocoria and endophthalmitis. His study also stated that the main types of injury include accidents in the road or work, firecrackers, and injury from sharp objects. The surgery is mostly done under general anesthesia wherein it helps the patient to not feel any pain during the procedure. After the surgery, a conformer is positioned behind the eyelids. This helps to keep the shape of the eye even after surgery. A stitch is then made to hold the eyelids together for a few days. The artificial eye will replace the conformer in a few weeks time just after the surgery on the eye has sufficiently healed. During the healing process, the conformer may start to fall out in the first few weeks. The conformer could be replaced but the patient must make sure that it is cleaned with soap and water before being placed back in between the eyelids.
Do Enucleation and Prosthetic Eyes have side effects?
Every surgery has its own effects. The patient may feel a headache, nausea, or eye pain in one or two days after the surgery. The doctor will prescribe the patient with pain-relieving medicines to help the patient in the discomfort he or she will be having after the surgery. Once the surgical wound has healed, a follow-up visit is done by the patient. The eye doctor will then remove the conformer and replace it with an artificial eye. A topical antibiotic is given which should be applied to the wound several times for the following few weeks.
How do Enucleation and Prosthetic Eyes help a patient?
The prosthetic eye will give the patient benefits compared to deciding to not have one. These benefits include increased self-esteem, physical appearance, and proper facial function. The eyelids after a surgical procedure would most likely close in on itself which is why it is recommended for a prosthetic one to be placed. It helps maintain the eyelid movement as well as the shape of the eye. Without the artificial eye in place, the eyelids would not function properly. Also, most of the patients who have undergone enucleation suffer from self-esteem issues. They are afraid that the way people used to look at them will change. A prosthetic eye will help make their appearance look natural as the artificial eye is crafted and designed based on the other remaining eye. A patch most frequently makes them feel like they are different from the rest. With the prosthetic eye, however, there isn't much difference in their appearance ever since before they got an eye surgery which greatly boosts their self-confidence.
How long does a Prosthetic Eye last and how to take care of them?
An artificial eye may last for less than 5 years. Within the third and fifth year of use, the artificial eye must be replaced because of the tendencies of the soft tissues to settle into the eye socket. There are certain things that can be done to take care of the prosthetic eye that the patient will be continuously using. When cleaning the prosthetic eye, rubbing alcohol or other chemical solvents must never be used. A contact lens cleaning solution either hard or gas permeable could be used. The prosthetic eye must also never be sterilized using heat. The frequent removal or cleaning of the prosthetic eye is not really something that is recommended. As long as the prosthesis feels comfortable to the patient, it should just be kept in place. However, there are certain times wherein mucous secretion within the eye socket makes the patient feel uncomfortable. It is then recommended for the patient to do a certain cleaning procedure on the prosthetic eye. It is also highly recommended to wear a pair of glasses which has shatterproof lenses. This is a great way of protecting the eyes in the case of a facial injury.
(See: Importance of professionally polishing your prosthetic eye)
Most of the patients who have undergone this surgical procedure are worried that it may affect their lifestyle. But, in fact, those who had undergone this procedure can even play sports. Specific safety glasses can be worn in order to ensure the protection of the eye which had undergone Enucleation. Patients can also do leisure activities such as swimming. However, it is recommended that goggles must be worn to preserve the life of the prosthetic eye and to avoid any damage.
With today’s modern medical technology, the current prosthetic eyes are made look so much like a natural eye. That no one could tell the difference. It might only look like artificial if the eyelid is dropping a little bit which can only be noticed if it was observed by someone close-up. It may be hard for most patients to adjust because losing an eye greatly affects them emotionally. Patients who had a hard time dealing with the thought that they have lost their eye could consult a psychiatrist to help them cope with the situation and continue living the normal life. Having a prosthetic eye may not change or affect one’s lifestyle. However, it may affect the way the patient sees himself or herself as someone with a disability. It is important to provide options like that of a prosthetic eye.
Valeshabad, A. (2014). Enucleation and evisceration: Indications, complications and Clinicopathological correlations. Int J Ophthalmol,7(4), 2014th ser., 677-680. doi:https://dx.doi.org/10.3980/j.issn.2222-3959.2014.04.17
Yom, K. H. (2018, September 17). Enucleation and Evisceration: What to Expect. Retrieved April 5, 2019, from https://webeye.ophth.uiowa.edu/eyeforum/cases/279-anophthalmic-socket.htm
Enucleation Surgery - Removal of the Eye » New York Eye Cancer Center. (2016, June 15). Retrieved April 5, 2019, from https://eyecancer.com/eye-cancer/treatments/enucleation-surgery-removal-of-the-eye/
Losing an Eye: Enucleation and Prosthetic Eye FAQ. (n.d.). Retrieved April 5, 2019, from https://www.allaboutvision.com/conditions/enucleation-prosthetic-eye.htm
Prosthetic Eye (Ocular Prosthesis): Surgery, Care, Types. (n.d.). Retrieved April 5, 2019, from https://www.webmd.com/eye-health/prosthetic-eye-ocular-prosthesis#1
My Artificial Eye gallery has been updated recently
I have recently updated my works about Artificial Eye, patients I did in my clinic in SM City Clark, Pampanga, Philippines.
An Artificial Eye has a beginning and also a time to have it replaced.
In this post, we will be discussing the 7 Life Cycle of an Acrylic Artificial Eye, from the time it's fitted by your Ocularist, up to the time when it needs to be replaced.
The 7 Life Cycle of an Artificial Eye
1. The Need
A Custom-made Artificial Eye is usually created to a person who recently loss his eye due to a disease or injury. In some cases, Doctors opt to no longer remove an Eye, and go straight ahead to putting a Scleral Shell Prosthesis.
2. The Creation
A Professional will then start to create an Artificial Eye. It usually begins by getting the Shape of your Eye Socket. Usually started by injecting an Impression paste on the inside of the eye socket.
3. The Artistry
Then the details will be added, such as Color of the Sclera, Iris, the Blood Vessels and if there is a presence of Pterygium on the real eye.
4. The Comfort
The Prosthesis is finished and is made sure that scratches are absent during the fitting.
5. The Follow Up
Your Doctor will ask you to do a follow up to check the surrounding tissue after you’ve been using the Artificial eye for quite some time. Questions like did you experience any problem, or did the eye rotate, may be asked to the patient.
6. The Maintenance
After 6 months or 1 year of wearing the Artificial Eye, it may be needed to bring the Artificial Eye back to the clinic for a Professional Polish. This is to remove all those dried up proteins left in the surface of the Artificial Eye.
7. The Replacement
Throughout the years, changes may occur on the tissues of your eye socket, which will affect your Artificial Eye experience in many things such as Rotating Eyes or Misdirected Eye, or in some cases irritated Eye Sockets. Kids do need to change their Artificial Eyes more often than Adults.
I have currently updated the Artificial Eye gallery of this webpage.
Visit https://www.artificialeye.ph/artificial-eye-gallery.html for more information
Did you know?
Artificial Eye users who experiences continuous discharge may find it beneficial to regularly clean their eyelids and Eyelashes
What is the Eyelid?
Problems that may occur
There are instances that our Eyelids may become inflamed(Blepharitis) or that our Meibomian Glands gets inflamed as well, causing our Eyelid to become Red and Swollen, sometimes even painful.
It may be caused by many things:
What to do incase of Eyelid infection?
If you find that your Eyelid is already swollen, please do visit your Doctor to have it examined, as long term inflammation of the Eyelid may cause permanent damages to the Eyelids and the Eye Socket itself.
Why Do we need to Clean our Eyelids?
Once medication have started, cleaning your Eyelids and Eyelashes can be a good idea.
Done before the application of the medicines the your Doctor gave you, it can help prevent further infection of the eyelid.
This can also be done even without infection present, especially if you are a heavy makeup user, where you often apply some in your Eyelids/Eyelashes.
This is also important for Artificial Eye Users who experiences heavy mucus discharge, where the discharge reoccurs a few minutes after wiping their Eyelids.
How to Clean you Eyelids/Eyelashes
Things you will need:
As indicated above, the Warm water should be able to soften any dried up Oil and Mucus which could cause more problem in the future if it were to clog the Meibomian Gland opening, which could lead to infection.
The Baby Shampoo is a good cleaning agent, but if you are able to get a hold of a Blephagel, it is a very good alternative as it's formulated for people with blepharitis(Inflammation of the Eyelid).
Did you know? You can use your Contact Lens Solution to Clean your Artificial Eye?
There are many ways to clean your Artificial Eye, and one of them is by using your Contact Lens Solution. Throughout your wearing time, our eye socket (just like our original eye) also produce tears and mucous discharge that will eventually harden and makes wearing the prosthesis uncomfortable.
A Contact Lens solution does not only cleans and disinfects your Prosthesis, but also removes protein build ups.
A specific type of Contact Lens Solution would be those used by Hard Contact Lenses. Aside from Cleaning, Rinsing and Disinfecting the Artificial Eye, it also provides a slippery surface upon insertion of the Ocular Prosthesis, which I find a lot of users more relieved.
I usually advice my patients to soak their Prosthetic Eyes for at least 30 minutes, twice or thrice a week. (e.g. Soak it in the solution while taking a bath). Or just simply rinse the Prosthetic Eye itself. It's a better alternative than using TAP WATER to clean the Artificial Eye.
But this does not substitute the Yearly Professional Polishing and Cleaning of Your Prosthetic Eye.
(RELATED: Importance of professionally polishing and cleaning an Artificial Eye)
For questions, email me at email@example.com or Click here
Are you planning to visit to have an Artificial Eye done? Or just want to visit Pampanga?
There are Premium Point to point Buses for people who are looking for a Doctor who makes Artificial Eye in the Philippines, especially those Coming from Metro Manila. The premium buses does a stop over at Sm clark, meaning, not only will you have a comfortable ride, but you will also be dropped at the exact building.
The following are the stop overs coming from NAIA 3 (near Resorts World manila), Robinsons Galleria, and Trinoma.
Here are the Schedules:
Don’t hesitate to contact the numbers in the Photo to ask for schedules of the buses.
What is a good way to start the New Year? To get a Thank you Message by an Artificial Eye Patient.
It really warms my heart to receive messages like this where people who were supposed to be strangers suddenly becomes a big part of my life, through an Artificial Eye.
And what makes it better is when they put it in their message how the Artificial Eye is changing their lives.
This just made the start of my year very awesome!
Hoping to meet and help more people this 2018!
Ad Majorem Dei Gloriam!
we are now at whatclinic.com!
in the website, it indicates the other services our clinic has to offer.
Aside from Artificial Eye fitting, we also offer other services like:
The link is:
A person received a free Artificial Eye Fitting in partnership with Rotary Club - San Juan West and Rotary E-Club
In partnership with Soliman Paroli Eyecare, Rotary Club San Juan West, and Rotary E-club of EDSA Ortigas District 3800, this Christmas season, we were able to give an early Christmas present to Mr Leonardo Bonifacio of Taytay Rizal. Last November, he was fitted with an Artificial Eye by Dr Mark Paroli in his clinic at Soliman Paroli Eyecare, SM City Clark, where he usually does his Artificial Eye Fitting.
Mr Bonifacio lost his Left eye when he has little. He had an infection which badly damaged his Left eye, and because there were no eye care practitioners in their area, when his eye was checked by an Ophthalmologist, it was already too late and it needed to be removed.
After having his eye, Mr Bonifacio said he was really happy to receive his eye. In fact, he was so excited to go home to show his friends and relatives on the "Something New" about him, especially to his office mates, as he kept the Artificial Eye fitting a secret to everyone.
Mr Bonifacio is now 2nd to receive a free Artificial Eye Fitting as Corporate Social Responsibility of Soliman Paroli Eyecare. Giving hope to those who have lost it, through the tiny piece of plastic we call an Artificial Eye.
A big Thank you to PP Augie Soliman for the referral of the patient.
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This is where my updates and stories about my practice in the art of making Artificial Eyes are posted