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Most prosthetic eyes look good and cause very little trouble in use. Sometimes however, the socket is distorted due to scarring or through recession of the eye socket over time. These ‘complicated sockets’ present a challenge to the prosthetist and to the oculo-plastic surgeon. Surgical procedures provide more scope for improvement than modifying the prosthesis alone, but they too are often constrained by pre-existing conditions. The best outcomes are obtained when surgeons and prosthetists adopt a team approach to the problems and build upon each others’ contributions.

It is not vanity that motivates anophthalmic patients to seek cosmetic surgery but a simple desire to blend naturally into the community

– just like the rest of us.

Upper eyelid entropion

Sometimes there is a shortage of conjunctival lining in the socket which causes the upper…

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Upper eyelid ptosis

Left upper eyelid ptosis.

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Lower eyelid laxity

The right lower eyelid has become lax causing the old prosthetic eye to drop relative to…

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Lost orbital volume

The right prosthetic eye fails to improve the lost orbital volume and bears down on the…

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Post-enucleation socket syndrome

The post-enucleation socket syndrome  (PESS) is a combination of features that result from a volume…

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