ocular prosthesis fabrication
TRANSCRIPT
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In The Name of GOD
MAXILLOFACIAL CASE PRESENTATION
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Fabrication Of Ocular Prosthesis
Presenter:Azade Tadayon fard,
Postgraduate Dept. of Prosthodontics, Dental School,Shahid Beheshti University of Medical Sciences
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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
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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
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EYE ANATOMY
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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
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EYE ANATOMY
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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
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EYE ANATOMY
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SURGICAL MANAGEMENT
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EYE PROSTHESES
• Ocular Prosthesis
• Orbital Prosthesis
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AIMS
The perfect artificial eye is one which:• Is comfortable • Shows good movement• Looks normal to the observer• Is easy to look after
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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
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TECHNIQUE
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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
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Wax Replica
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Scleral Blank
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Iris Disc
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Iris Location
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Pupil Painting
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Veining
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Before After
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It’s the God-given right of every human being to appear a human…
Thank You!