Manuscript Title:

MODIFIED HOLLOW OCULAR PROSTHESIS TO REHABILITATE VOLUMINOUS OCULAR DEFECT

Author:

DEVINA ANGGA, PUTRI WELDA UTAMI RITONGA, HASLINDA Z. TAMIN

DOI Number:

DOI:10.17605/OSF.IO/FTUCE

Published : 2023-05-10

About the author(s)

1. DEVINA ANGGA - Specialist Program in Prosthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Jalan Alumni No. 2 Kampus USU, Padang Bulan, Medan, Indonesia.
2. PUTRI WELDA UTAMI RITONGA - Specialist Program in Prosthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Jalan Alumni No. 2 Kampus USU, Padang Bulan, Medan, Indonesia.
3. HASLINDA Z. TAMIN - Specialist Program in Prosthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Jalan Alumni No. 2 Kampus USU, Padang Bulan, Medan, Indonesia.

Full Text : PDF

Abstract

Background: Ocular defects post-enucleation can be rehabilitated using stock or custom ocular prostheses. The stock ocular prosthesis was premade, thus limited in color, shape, size, and iris orientation. Whereas custom ocular prosthesis provides a better aesthetic and fit with good motility, if it is large and heavy, it can burden the lower eyelids and cause lid laxity. In the following case, the ocular prosthesis volume was 4.5mL, which exceeded the ideal volume of 2.2mL. Objectivess: Fabricating hollow using chocolate to reduce weight without affecting the shape and aesthetics of the custom ocular prosthesis. Case Report: A 30-yearold man presented to the Dental Hospital of Sumatera Utara with a chief complaint of unmatching colour, iris disorientation, and minimal motility with the present stock ocular prosthesis post-enucleation. The initial impression was carried out and the scleral wax volume was 4.5mL. The custom occular prosthesis fabrication was done by utilizing chocolate as a hollow matrix. The chocolate matrix was made by placing wax relief on both parts of the mold, then filled with melted chocolate, and after setting, the wax was replaced with scleral acrylic. The chocolate matrix was moldable, had a high density, so it was stable under pressure during acrylic packing, evacuated easily and resulted in an even thickness of acrylic. Conclusion: Fabrication of custom hollow prosthesis eyes with a chocolate matrix obtains a comfortable, aesthetic, lightweight ocular prosthesis and optimum motility.


Keywords

Enucleation, Hollow Ocular Prosthesis, Ocular Defect.