THE EFFICACY OF CUSTOM-DESIGNED, LIGHT-WEIGHT HOLLOW OCULAR PROSTHESIS: NON-COMPARATIVE INTERVENTIONAL PROSPECTIVE STUDY IN MAYO HOSPITAL, LAHORE, PAKISTAN

Abstract

The study was conducted to determine the efficacy of custom-designed, light-weight ocular prosthesis in cosmetic rehabilitation of anophthalmic socket with regard to patient’s satisfaction level, degree of motility, and less associated complications. The Non-comparative interventional prospective study was employed at the Eye unit III, Mayo Hospital, Lahore. After taking IRB approval, 100 patients of either age and gender, with anophthalmic socket following evisceration or enucleation where orbital volume was sufficiently restored and the fornices were adequately formed, enrolled in this study. Custom-designed and light-weight ocular prosthesis were fabricated by the ocularist and follow up were done. Patient’s satisfaction score, degree of motility of ocular prosthesis and associated complications were recorded on proforma. Statistical analysis was performed using SPSS v 25. The findings show that out of 100 patients, 36% were male and 64% were female. Majority of patients (63%) had evisceration previously and the highest percentage for its cause was endophthalmitis (33%). Mean patient’s satisfaction score at one month was 4.96±1.25 that further improved to 5.21±0.68 at 6 months follow up with a significant p-value of 0.032 (< 0.05). Degree of prosthetic eye movement was fair in majority (43%) and the most common complication was mucous discharge that too only in 17%. The findings can be concluded that custom designed and light-weight ocular prosthesis are very effective in achieving the higher satisfactory score of patients, better ocular motility and reducing the prosthesis related complications that help patients in maintaining the better quality of life.