Prosthesis Care in Long-term Prosthetic Eye Wearers

Hyun Yeon Kim; Keun Hae Kim

doi:10.3341/jkos.2019.60.3.217

Journal List > J Korean Ophthalmol Soc > v.60(3) > 1117649

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kim and Kim: Prosthesis Care in Long-term Prosthetic Eye Wearers

Original Article

Journal of the Korean Ophthalmological Society 2019; 60(3): 217-222.

Published online: 15 March 2019

DOI: https://doi.org/10.3341/jkos.2019.60.3.217

Prosthesis Care in Long-term Prosthetic Eye Wearers

Hyun Yeon Kim, MD, Keun Hae Kim, MD, PhD

Department of Ophthalmology, Daegu Catholic University School of Medicine, Daegu, Korea.

Address reprint requests to Keun Hae Kim, MD, PhD. Department of Ophthalmology, Daegu Catholic University Medical Center, #33 Duryugongwon-ro 17-gil, Nam-gu, Daegu 42472, Korea. Tel: 82-53-650-4148, Fax: 82-53-627-0133, kimkh@cu.ac.kr

Received 19 July 2018 Revised 23 August 2018 Accepted 20 February 2019

The Korean Ophthalmological Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To aid in the prosthesis care by comparing anophthalmic eyes with normal eyes in anophthalmic patients wearing prosthetic eyes for more than 1 year.

Methods

We retrospectively reviewed the medical records of 40 anophthalmic eyes and 40 normal fellow eyes of 40 patients who wore prosthetic eyes for more than 1 year after unilateral eye removal and orbital implant insertion. We compared data obtained from medical records on sex, age, punctal abnormality, lagophthalmos, eye discharge characteristics, tear meniscus height, upper eyelid palpebral conjunctiva, Meibomian gland dysfunction, Schirmer's test, lacrimal irrigation test, diagnostic probing, period of wearing the prosthetic eye, and frequency of prosthesis removal between anophthalmic eyes wearing a prosthesis and normal eyes.

Results

Anophthalmic eyes with lagophthalmos wearing a prosthesis had a higher frequency of eye discharge than eyes without lagophthalmos (p = 0.04). Eyes with frequent prosthesis removal had a higher frequency of eye discharge than eyes with less frequent prosthesis removal (p = 0.04). However, lagophthalmos and prosthesis removal frequency were not associated with tear meniscus height, or the results of Schirmer's test, or the lacrimal irrigation test (0.174 < p < 0.971).

Conclusions

The frequency of prosthesis removal and presence of lagophthalmos can affect the discharge of anophthalmic eyes. It is advisable not to remove the prosthesis more than once a month to minimize eye discharge.

Keywords: Anophthalmos, Ocular prosthesis

Figures and Tables

Figure 1

Anophthalmic socket discharege patient questionnaire for the frequency of prosthesis removal and eye discharge characteristics. Modified from Pine et al,6 with permission from the Dovepress and Kashkouli et al,5 with permission from the Elsevier.

Table 1

Discharge characteristics and frequency of prosthesis removal with anophthalmic eyes wearing prosthetic eye for more than a year

Values are presented as number (%).

Table 2

Comparison of TMH, Schirmer test, and lacrimal irrigation test between anophthalmic eyes wearing prosthetic eye and normal eyes

Values are presented as mean ± standard deviation (range) or number (%) unless otherwise indicated.

TMH = tear meniscus height; NLD = nasolacrimal duct.

^*Paired t-test; ^†Chi-square test.

Table 3

Frequency of discharge in anophthalmic eyes with or without lagophthalmos

Values are presented as number (%).

^*Chi-square test.

Notes

^{Conflicts of Interest} The authors have no conflicts to disclose.

References

1. Pine K, Sloan B, Stewart J, Jacobs RJ. Concerns of anophthalmic patients wearing artificial eyes. Clin Exp Ophthalmol. 2011; 39:47–52.

2. Jang SY, Lee SY, Yoon JS. Meibomian gland dysfunction in longstanding prosthetic eye wearers. Br J Ophthalmol. 2013; 97:398–402.

3. Vardizer Y, Lang Y, Mourits MP, Briscoe MD. Favorable effects of lacrimal plugs in patients with an anophthalmic socket. Orbit. 2007; 26:263–266.

4. Saedon H, Cheung D. Occult traumatic nasolacrimal duct obstruction causing anophthalmic socket contraction presenting 20 years later: a case report. Cutan Ocul Toxicol. 2008; 27:87–89.

5. Kashkouli MB, Zolfaghari R, Es'haghi A, et al. Tear film, lacrimal drainage system, and eyelid findings in subjects with anophthalmic socket discharge. Am J Ophthalmol. 2016; 165:33–38.

6. Pine K, Sloan B, Stewart J, Jacobs RJ. A survey of prosthetic eye wearers to investigate mucoid discharge. Clin Ophthalmol. 2012; 6:707–713.

7. Kim JH, Lee MJ, Choung HK, et al. Conjunctival cytologic features in anophthalmic patients wearing an ocular prosthesis. Ophthalmic Plast Reconstr Surg. 2008; 24:290–295.

8. Chang WJ, Tse DT, Rosa RH, et al. Conjunctival cytology features of giant papillary conjunctivitis associated with ocular prostheses. Ophthalmic Plast Reconstr Surg. 2005; 21:39–45.

9. Osborn KL, Hettler D. A survey of recommendations on the care of ocular prostheses. Optometry. 2010; 81:142–145.

10. Pine KR, Sloan B, Stewart J, Jacobs RJ. The response of the anophthalmic socket to prosthetic eye wear. Clin Exp Optom. 2013; 96:388–393.

11. Kim DW, Kwon YA, Song SW, et al. Clinical usefulness of a thermal-massaging system for treatment of dry eye with meibomian gland dysfunction. J Korean Ophthalmol Soc. 2013; 54:1321–1326.

12. Garaszczuk IK, Mousavi M, Cervino Exposito A, et al. Evaluating tear clearance rate with optical coherence tomography. Cont Lens Anterior Eye. 2018; 41:54–59.

13. Lim KJ, Lee JH. Tear meniscus height in dry eye syndrome. J Korean Ophthalmol Soc. 1992; 33:29–31.

14. Vasquez RJ, Linberg JV. The anophthalmic socket and the prosthetic eye. A clinical and bacteriologic study. Ophthalmic Plast Reconstr Surg. 1989; 5:277–280.

15. Pine KR, Sloan BH, Jacobs RJ. A proposed model of the response of the anophthalmic socket to prosthetic eye wear and its application to the management of mucoid discharge. Med Hypotheses. 2013; 81:300–305.

16. Jang SR, Yun IS, Lim HS, Kook KH. Comparison of wettability for ocular prosthesis depending on different kinds of artificial tear eye drops. J Korean Ophthalmol Soc. 2014; 55:1745–1751.

TOOLS

Similar articles