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

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Chief Complaint

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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

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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!