Orbital cosmetic prosthesis

adult

An orbital (eye) prosthesis involves prosthetic restoration of the eye and its surrounding bone structures and tissues for patients who have undergone an exenteration of the orbit. To create an orbital prosthesis, a wax prototype of the missing tissue and lids are custom sculpted to create symmetry with the other side. A custom ocular, "glass eye", is set in the wax to simulate a natural gaze. The prototype is then molded, cast in silicone, and then custom painted to create the best possible match to the surrounding tissue. An orbital prosthesis is medical necessary in order to protect delicate internal anatomy that would otherwise be exposed after surgical removal of the orbit. Prosthetic retention, which is how the prosthesis attaches to the patient's remaining anatomy, may be achieved through the use of skin-safe adhesives, anatomical fit, surgical implants, or a combination of these methods.