Reduction of Ocular Prosthesis (V2626)

Name of the Procedure:

• Common Name: Ocular Prosthesis Reduction
• Medical Term: Reduction of Ocular Prosthesis

Summary

Ocular prosthesis reduction involves making adjustments to an artificial eye to improve fit, comfort, and appearance. This procedure ensures the prosthesis best meets the patient's needs and functions efficiently.

Purpose

• Medical Conditions: Issues related to poor fit, discomfort, or changes in the socket size.
• Goals: To enhance comfort, aesthetic appearance, and functional performance of the prosthetic eye.

Indications

• Discomfort or pain due to ill-fitting prosthesis
• Changes in the anatomy of the eye socket
• Cosmetic dissatisfaction
• Regular maintenance and adjustments

Preparation

• Patients are generally advised to maintain good eyelid and socket hygiene.
• Any previous medical records and details about the prosthetic eye should be provided to the healthcare provider.
• Diagnostic assessments of the eye socket may be conducted to ensure proper fitting.

Procedure Description

1. Assessment: Initial evaluation of the existing ocular prosthesis and the eye socket.
2. Adjustment/Reduction: Trimming or reshaping the prosthesis to fit better into the socket. This involves using specialized tools to carefully modify the prosthetic device.
3. Fitting: Repeated fitting sessions ensuring the prosthesis is comfortable and aesthetically pleasing.
4. Final Touches: Polishing and finishing the adjusted prosthesis for final use.

• Tools/Equipment: Specialized abrasive tools, polishing materials.
• Anesthesia/Sedation: Typically, no anesthesia or sedation is required. Local anesthetic may be used if slight discomfort is anticipated.

Duration

Approximately 30 minutes to 1 hour, depending on the extent of adjustments needed.

Setting

Typically performed in an outpatient clinic specializing in ocular prosthetics.

Personnel

• Ocularist (a specialist in ocular prosthetics)
• Optometrist or ophthalmologist (in certain assessments)

Risks and Complications

• Common Risks: Minor discomfort, temporary irritation.
• Rare Risks: Infection, allergic reaction to materials, need for additional adjustments.

Benefits

• Enhanced comfort and fit
• Improved aesthetic appearance
• Better functional performance of the prosthetic eye Benefits are typically realized immediately after the procedure.

Recovery

• Patients can resume normal activities almost immediately.
• Maintain cleanliness of the prosthetic eye and the eye socket.
• Follow-up appointments might be scheduled for further adjustments or checks.

Alternatives

• Continuous Wear: Persisting with the existing prosthesis without adjustment, although it may cause long-term discomfort.
• New Prosthesis: Fabricating an entirely new ocular prosthesis, which involves a longer process and higher costs.

Patient Experience

• During the Procedure: Minor discomfort may be felt, similar to a dental adjustment session.
• Post-Procedure: Improved comfort and appearance, minimal to no pain. Patients might experience a brief adjustment period to get used to the modified prosthesis.
• Pain Management: Usually not required, over-the-counter pain relievers can be used if needed for minor discomfort.