PMC5379827_01
Acquired right eye defect due to enucleation. (a) Frontal view of the face profile. (b) Right lateral view
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F1
The muscle tonicities of the upper and lower eyelids were sufficient for opening and closing movements Figure 1a and b.
(a) Conformer (b) conformer try in (c) definitive custom-made eye prosthesis followed by final conformer dimension
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F2
An evolution was done after 1 week [Figure 2a]. The current dimension of the conformer gave a harmonious status with the surrounding structure of the contralateral eye [Figure 2b]. Following the size conformer, a definitive prosthesis was fabricated and issued [Figure 2c].
Issue of custom-made definitive eye prosthesis. (a) Frontal view of face profile (b) right lateral view
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F3
The evaluation was conducted in relation to the patient's expectations regarding esthetics and comfort [Figure 3a and b].
PMC5379827_02
Acquired right eye defect due to evisceration. (a) Frontal view of face profile (b) right lateral view
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F4
The presence of the deepening of the superior sulcus was observed in this case [Figure 4a and b].
(a) Conformer (b) conformer try in with noticeable lack of improvement of superior sulcus deepening (c) definitive custom-made eye prosthesis followed by final conformer dimension
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F5
The patient was given conformer therapy for 2 to 3 weeks [Figure 5a]. An evolution was conducted after 3 weeks, which included the esthetic overcoming of the deepening of the superior sulcus, which was apparently present, and the improvement of the tonicity of the muscles [Figure 5b]. The conformer was later transformed to customize the eye prosthesis, with the matching shade of the contralateral eye [Figures 5c and 6a, b].
Issue of custom-made definitive eye prosthesis. (a) Frontal view of face profile (b) right lateral view
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F6
The conformer was later transformed to customize the eye prosthesis, with the matching shade of the contralateral eye [Figures 5c and 6a, b].
PMC5379827_03
Acquired left eye defect due to evisceration. (a) Frontal view of face profile (b) defect consists of ptosis (black mark) and superior sulcus deepening (blue mark) (c) initial conformer (d) after try in initial conformer, conformer relined with pink wax to improve ptosis and superior sulcus deepening (e) final relining with heat cure acrylic resin
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F7
A 58-year-old male patient who had lost his eye due to trauma was reported after evisceration [Figure 7a]. The deepening of the superior sulcus was also inevitable [Figure 7b]. Following the impression, a conformer was inserted and relined in different sizes to increase the eye opening movement [Figure 7c-e].
Evolution of conformer in the patient. (a) Initial conformer try in (b) after relining with pin wax ptosis slightly improved (black mark) but slightly superior sulcus deepening exist (blue mark)
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F8
An evolution was conducted after a month to evaluate the eye opening [Figure 8a and b].
(a) Issue of custom-made definitive eye prosthesis. (b) Frontal view of face profile (c) left lateral view (d) right lateral view
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F9
Upon satisfactory opening of upper eyelid, an ocular prosthesis was fabricated and issued [Figure 9a-d].