Case Report Annals of Prosthodontics and Restorative Dentistry, October-December, 2015;1(1):40-43 40 Prosthetic Rehabilitation of an Ocular Defect with customized Iris: A Case Report Azeem Khan 1 , Naeem Ahmad 2 , Kaushik Kumar Pandey 3 , Anuj Kishor Shukla 4 1,2,3 Senior Lecturer, 4 PG Student, Department of Prosthodontics, Career Post Graduate Institute of Dental Sciences, Lucknow Corresponding Author: Azeem Khan Senior Lecturer, Department of Prosthodontics, Career Post Graduate Institute of Dental Sciences, Lucknow E-mail: azeemkhan801@gmail.com Abstract Due to trauma or disease, if loss of an eye occurs, then it can be rehabilitated by constructing a satisfactory ocular prosthesis with the combined effects of an ophthalmologist and a maxillofacial prosthetist. In the present case report a simple and effective method of fabricating an ocular prosthesis has been discussed which enhanced Patient’s self-esteem and status. Keywords: Iris, Custom-made ocular prosthesis, Digital imaging, Enucleation Introduction Loss or absence of eye may be because of congenital defect, irreparable trauma, tumour etc. Depending upon the severity of situation the management can be achieved by 3 surgical approaches i.e. Evisceration, Enucleation and Exenteration. Evisceration is the procedure in which intra ocular content of the globe are removed leaving sclera, tenons capsule, conjunctiva, extra-ocular muscles and optic nerve undisturbed. Whereas Enucleation is the surgical removal of the globe and portion of optic nerve from orbit. It is difficult to choose between Evisceration and Enucleation because the indication for each operation is not always very clear. Extenteration is the an-block removal of entire orbit involving partial or total removal of eyelid and is mainly performed for eradication of malignant orbital tumor. 1 Anecdotal reports and relics from ancient civilization indicates that restoration of ocular defect have existed for thousands of year. The earliest known example dates to fourth dynasty (2613-2494 B.C) in Egypt. Materials used for rehabilitation were found to be precious stone, earthen ware, bronze, copper and gold. As literature provides, it was the 16 th century when Pare fabricated an ocular prosthesis using gold and silver. He also used glass and porcelain for eye. But after the World War II, it became difficult to obtain glass eye from Germany and then acrylic resin became material of choice for fabrication of eye prosthesis. 2 The advantages of acrylic over glass were many such as light weight, easy to adjust and fit, translucency, inert with socket secretion, intrinsic and extrinsic colouring etc, so the mass production of such stock acrylic eye was started. These stock eyes were basically supplied in three basic shapes i.e. oval, standard and three cornered: three basic sizes i.e. small, medium and large and three basic colors i.e. brown, hazel and blue. Stock prosthesis are relatively inexpensive, can be delivered quickly and no such special skills and material are required for its fabrication. However a custom made ocular prosthesis has several advantages over the stock prosthesis such as improved adaptation to underlying tissue, increased mobility, better facial contour, enhanced esthetics and control over the size and colour of iris and sclera. Numerous impression and fitting method existed effectiveness and desirability often depends on the patient’s preservation, operators experience and material and equipment used. In the present case report a simple and effective method of fabricating an ocular prosthesis has been discussed. Case report A 26 yr old male patient reported to the Department of Prosthodontics and crown & bridge, Career Post Graduate Institute of Dental