Ratna Kartika1*, Wina Meiana1, Sri Budi Barunawati2, Endang Wahyuningtyas2, Titik Ismiyati 2
The eye is vital for vision and integral to facial structure. Eye loss from trauma, congenital anomalies, or pathology impacts both function and aesthetics, affecting the patient’s psychological well-being. Maxillofacial prosthetics aim to restore aesthetics and support psychological health by replacing missing facial structures, including the eye. This case report aims to describe the fabrication of a custom ocular prosthesis for a male patient with a left ocular defect following enucleation. A 26-year-old male patient presented to Prof. Soedomo Dental Hospital, Universitas Gadjah Mada, seeking a new left ocular prosthesis to improve his appearance, as he expressed dissatisfaction and feeling uncomfortable with his previous prosthesis. The patient’s condition was stable with no complaints of pain or discomfort. Subjective and objective examinations were conducted, followed by the fabrication of a custom acrylic resin tray. An initial impression was taken with hydrocolloid material and cast with type-3 gypsum to create a working model. The eye socket was re-impressed with rubber base material, and a wax scleral model was modified to match the patient’s anatomy. The sclera color was matched using a shade guide and photographs of the contralateral eye, then sent to the lab for acrylic sclera fabrication. After trial fitting, the sclera was inserted and evaluated for aesthetics, retention, and stability. At the final follow-up, the patient was satisfied with the result and the eye socket tissues were healthy. The fabrication of a custom ocular prosthesis using acrylic resin successfully enhanced the patient’s aesthetics, comfort, and confidence by ensuring a proper fit to the eye socket.
Keywords: Custom ocular prosthesis, eye socket, evisceration, ocular defect