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ORIGINAL ARTICLE
Year : 2020  |  Volume : 21  |  Issue : 4  |  Page : 275-281

The effects of a novel preadapted ocular prosthesis on the quality of life of patients with anophthalmic contracted sockets


Department of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt

Correspondence Address:
MD Amr M Awara
Department of Ophthalmology, Faculty of Medicine, Tanata University, El-Geish Street, Tanta 31511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/DJO.DJO_25_20

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Purpose The aim of this study was to evaluate the effectiveness of a novel preadapted polymethyl methacrylate pressure prosthesis in patients with anophthalmic contracted sockets and its effect on their quality of life. Patients and methods This is a controlled randomized clinical trial that included two groups of patients, with 19 patients in each. Group A received the new preadapted customized prosthesis fixed by periosteal sutures through custom-made holes during the primary reconstruction, whereas group B received the traditional transparent conformer for 6–20 weeks followed by the final cosmetic prosthesis. Prosthesis tolerability, socket inflammation, edema, contraction, and quality of life were assessed by the Medical Outcome Study short form-36 items. Results Most of the patients (89.5%) in group A had a stable and well-centered prosthesis. Only two cases in this group had slightly shifted prosthesis without significant effect on the patient’s appearance. Group A had significantly shorter time (7.5±1.2 days) to return to their usual life activities and to uncover their prosthetic eye than group B (P<0.001). They also had significant improvement in the emotional health-related domains in the Medical Outcome Study short form-36 than group B. Complications in group A were minimal, as only one case had extrusion of the prosthesis owing to local infection. Conclusion The preadapted polymethyl methacrylate pressure prosthesis with periosteal fixation is a simple and effective method in cases of severe anophthalmic socket contraction and resulted in early rehabilitation and improvement of patient’s quality of life.


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