Modified impression tray and iris positioning ocular prosthesis of post enucleation socket syndrome: case report

Abstract

The cosmetic disfigurements which arise due to loss of orbital volume after enucleation of an eye include enophthalmus, superior sulcus deformity, upper eyelid ptosis, and lower eyelid laxity. The treatment can be either conservative or surgical. For patients who does not want to undergo further surgical procedures, the conservative treatment is simple, non-invasive, and appropriate. This case report describes modified impression tray and iris positioning technique of post enucleation socket syndrome to achieve aesthetics and function. A 65-year-old male patient reported to the Dental Hospital Universitas Sumatera Utara with the chief complaint of facial disfigurement due to loss of the right eye. Patient had enucleation 6 months ago and using conformer after surgery. The diagnosis was post enucleation socket syndrome. Clear acrylic sclera as a tray without handgrip will precisely records of the palpebre con- vexity and specified socket. The use of eyebrow ruler helps accurately determine the symmetrical iris position com- pared to only visually determining which is subjective with the possibility of interobserver errors. It was concluded that clear acrylic sclera as a tray and eyebrow ruler to determine the position of iris resulting in patient satisfaction due to aesthetics and function.