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4. Introduction
Eyes are the most important organs in the
face.
Loss of eye or disfigured eye has a severe
impact on individuals psychology.
The goal
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5.
Maxillo facial prosthetics- “the branch of
prosthodontics concerned with the restoration and or
replacement of the stomatognathic and craniofacial
structures with prostheses that may or may not be
removed on a regular or elective basis”.
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6. Ocular prosthesis
Orbital prosthesis
A maxillofacial prosthesis that
artificially replaces an eye
missing as a result of trauma,
surgery or congenital absence .
The prostheses does’t replace
missing eyelids or adjacent skin ,
mucosa or muscle.
A maxillofacial prosthesis that
artificially restores the eye ,
eye lids and adjacent hard
and soft tissues.
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7. History
First artificial eye were made by
Egyptians ( 2500 B C )
Used in mummification process &
made from precious stone , silver ,
gold.
“AMBROSE PARE” – first to use of
artificial eyes in humans.
Glass material.
PMMA
In 1944 a dentist created an acrylic
eye for his son.
Today 90 % of ocular prostheses
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are made of acrylic plastic.
32. Complications
Papillary conjunctivitis
Post enucleation socket
syndrome
Lower eye lid is stretched
Cell mediated
down wards
hypersensitivity reaction
Deep hollow under the
Local irritation , sticky
superior orbital rim
discharge, hyperemic
Management—
conjunctiva, massive
New prosthesis
papillary hyperplasia.
surgery
Management—
sodium chromoglycate
eye drops
Topical steroids
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33. Maintenance
DOs
DONOTs
Cleaning of eye lids with baby
shampoo
Clean the secretions from eye
lids
Cleaned before insertion with
a mild soap or baby shampoo
Never soaked in alcohol ,
bleach.
Never sterilize in an
autoclave
Too much handling
Remove the prosthesis as
necessary
Store it in water or soft
contact lens saline solution.
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