Ocular Prosthesis fitting in a Nigerian Tertiary hospital: A 5year review
DOI:
https://doi.org/10.60787/tnhj.v22i1.543Keywords:
ocular prosthesis, eye clinic, destructive eye surgery, Kebbi StateAbstract
Background
Ocular prosthesis (OP) plays an important role in reducing the psychological trauma of eye removal. It helps in restoring self confidence in the patient, prevent eyelid deformation, and orientate the lacrimal flux. OP is usually inserted between 6-8 weeks post-operatively following evisceration and enucleation. This study is set to report our experience on the use of ocular prosthesis vis-à-vis indications and common complications associated.
Materials and methods
A 5 year retrospective review of all 77 patients who had destructive ocular surgeries and ocular prosthesis fitted, in our hospital was done. Information obtained from the patients’ folder include socio-demographics characteristics and indication for OP fitting, type of destructive ocular surgery done and complication following ocular prosthesis insertion.
Results
Seventy-seven patients had destructive ocular surgeries and ocular prosthesis inserted within the study periods. The mean age of the patients was 38.7 (SD= 28.9) and their ages ranged from 1year- 90years. More than half (57.1%) were male, 28.6% were farmers while, 20.8% were full house wife. Endophthalmitis (37.7%) and anterior staphyloma (31.2%) were the main indication for destructive ocular surgery that required OP insertion. Seventy-four evisceration was performed within the study period, while 72 of the patients had ocular implant inserted during the primary surgery. Forty-four OPs were fitted into the left eye using stock type of ocular prosthesis.
Conclusion
Endophthalmitis and anterior staphyloma were the main indications for destructive ocular surgery which necessitated OP fitting. Evisceration was the major procedure for eye removal and stock shell type of ocular prosthesis were mainly in this study.
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References
Rokohl AC, Koch KR, Adler W, Trester M, Trester W, Pine NS et al. Concerns of anophthalmic patients-a comparison between cryolite glass and polymethyl methacrylate prosthetic eye wearers. Graefes Arch Clin Exp Ophthalmol. 2018 ; 256:1203–1208.
Goiato MC, Fernanda Pereira de Caxias FP Dos Santos DM. Quality of life living with ocular prosthesis. Expert Review of Ophthalmology. 2018 13:4,187-189,
Mukatash G, Jebreen SE, Al-Homse M, Othman E. Anophthalmic Patients Treated with Eye Prosthesis at a Maxillofacial Unit in Jordan. Journal of the Royal Medical Services 2015; 22(4): 44-51
Chin K, Margolin CB, Finger PT. Early ocular prosthesis insertion improves quality of life after enucleation. Optometry 2006; 77(2): 71–75.
Avisar I, Norris JH, Quinn S, Allan D, McCalla M, Dugdale D et al, . Temporary cosmetic painted prostheses in anophthalmic surgery: an alternative to early postoperative clear conformers. Eye 2011; 25: 1418–1422
Raizada D, Kuldeep Raizada K. Custom Ocular Prosthesis Fitting Following Evisceration: Staphyloma Vs. Non-staphyloma cases. International Journal of Ocular Oncology and Oculoplasty, , 2016;2(1):42-47
Monsudi KF. Ayanniyi AA. Evaluating Resource for Cataract Surgical Services in Kebbi, Nigeria. Taiwan J Ophthalmol. 2018;8:87-92
Al-Dahan D, Khan AO. Indications for Pediatric Ocular Prosthesis Fitting at a Referral Center in the Middle East. Middle East Afr J Ophthalmol 2019; 26(2): 107-109
Naji AM, Yaseen MM, Majali AJ , Nief OA. Custom made polymeric artificial eye: Appearance and characteristics of wear and care. Journal of Physics: Conference. Series. 1853 (2021).
Constant S, Koffi B, Serge I, Ellalie K, Francois D et al., D. Epidemiological Particularities and Indications of the Mutilating Surgery of the Eyeball in Abidjan (Ivory Coast). Open Journal of Ophthalmology 2018; 8: 91-96. doi: 10.4236/ojoph.2018.82013.
Malu KN, Gbanan DN, Ogbor E. Primary ocular prosthesis in patients undergoing evisceration, enucleation and socket reconstruction in north central Nigeria: A multi-center study. Sub-Saharan Afr J Med 2015;2:128-33
Raizada D, Raizada K, Naik M, Murthy R, Bhaduri A, Honavar SG. Custom ocular prosthesis in children: How often is a change required? Orbit. 2011;30:208
Vemuganti GK, Jalali S, Honavar SG, Shekar GC. Enucleation in a tertiary eye care centre in India: Prevalence, current indications and clinicopathological correlation. Eye (Lond) 2001; 15:760–5.
Zhang J, Wan L, Dai Y. The demography and etiology of pediatric enucleation in a tertiary eye center in North China, 2001-2015. Ophthalmic Epidemiol. 2019; 26:95–101.
Rasmussen M L. Komplikationer ved brug af øjenproteser [Complications from eye prosthesis]. Ugeskr Laeger.2008Aug 11; 170(330: 2456-2458
Koch KR, Trester W, Muller-Uri N, Trester M, Cursiefen C, Heindl LM. Augenprothetische Versorgung. Anpassung, Handhabung und Komplikationen[Ocular prosthetics. Fitting, daily use and complications]. Ophthalmologe. 2016 Feb;113(2):133-142
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