38 Volume 2 • Issue 1 • 1000109 Madridge J Dent Oral Surg.
ISSN: 2639-0434
Madridge
Journal of Dentistry & Oral Surgery
Case Report Open Access
Prosthetic Rehabilitation for the Missing Bulbus
Oculi Due to Eye Enucleation (Fabricated and Non-
Fabricated)
Haryo M. Dipoyono
1
*, Gunawan S Sarjono
2
, Iwa A Sakti
2
, Lina
2
and Srada Putra
2
1
Department of Prosthodontics, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
2
Student of Prosthodontic Specialist Program, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
Article Info
*Corresponding author:
Haryo M. Dipoyono
Department of Prosthodontics
Faculty of Dentistry
Gadjah Mada University
Yogyakarta, Indonesia
E-mail: dipoyono@yahoo.com
Received: September 29, 2016
Accepted: October 14, 2016
Published: March 3, 2017
Citation: Dipoyono HM, Sarjono GS, Sakti
IA, Lina, Putra S. Prosthetic Rehabilitation
for the Missing Bulbus Oculi Due to Eye
Enucleation (Fabricated and Non-Fabricated).
Madridge J Dent Oral Surg. 2017; 2(1):
38-40.
doi: 10.18689/mjdl-1000109
Copyright: © 2017 The Author(s). This work
is licensed under a Creative Commons
Attribution 4.0 International License, which
permits unrestricted use, distribution, and
reproduction in any medium, provided the
original work is properly cited.
Published by Madridge Publishers
Abstract
Background: Losing eyeball is a process that caused both medically and psychologically
traumatic. One of many drawback of losing eyeballs is vision loss. The impact of
psychological aspect is the feeling of inferiority as well as social acceptance from society.
Objective: This case report aims to provide information on the making of non-fabricated
individual prosthetic eyeball using acrylic resin material.
Case Report: 52 years old gentleman came to the Prosthodontic Clinic Dental Hospital,
Faculty of Dentistry, Gadjah Mada University to make prosthetic eyeball after surgery to
remove the eyeball two months ago due to granuloma. The patient had been using
previously fabricated ocular prostheses. Patient management are anamnesis, clinical
examination, individual custom trays making, wax modeling and sclera try in, acrylic
processing, and determining the location and diameter of the iris, and then the insertion
of the prosthetic eyeball.
Conclusion: Non-fabricated ocular prostheses can improve the patient’s appearance,
and by restoring the appearance would increase the confidence of patient and be
accepted in his society.
Keywords: Prosthetic rehabilitation; Fabricated and Non Fabricated.
Introduction
Eye is a sensory organ that is vital for human life. It plays a role not only as one of
the sensoric organs but also an essential component of facial expressions and so it is an
important part in a man’s facial appearance. Losing an eye would not only cause a
person to experience disability function, but also affects the aesthetical appearance [1].
Anopthalmos is a situation where there is no eyeball in the eye socket. Accident on the
eye is the most common cause and the main reason for removal of the eyeball. The
other cause that made eyeball have to be lifted is the presence of malignancy, growth
abnormalities, infections and cosmetic problems. Abnormalities caused by loss of the
eyeball that made physical and psychological problems is a serious condition to handle
so that eye prosthetic making is essential to improve the patient physical and
psychological healing.
Eyeball removal surgical procedure often done by ophtalmologist including [2]:
Eviceration: partial removal of the contents of the eyeball, leaving only the sclera and
sometimes cornea. The most suitable prostheses for this patient were non-fabricated
prosthetic or shell-shaped scleral shell prostheses; Enucleation: enucleation of whole
ISSN: 2639-0434