Novel Method of Management of Pseudoptosis with Ocular Prosthesis

Abstract

Introduction: Surgical removal of eye (enucleation) may cause disfigurement of the empty socket. Ptosis, an important post-operative complication, may be seen in Post-enucleation socket syndrome or occurring alone. When the ptosis occurs mainly due to loss of orbital volume, leading to loss of support and drooping of the upper eyelid, the condition is pseuoptosis. This complicates the rehabilitation process with an ocular prosthesis compromising the cosmetic result. In this article, a simple modification of an ocular prosthesis is made to correct ptosis in an enucleated socket with post-enucleation socket syndrome. Case Report: An elderly male patient, suffering from postenucleation socket syndrome of left eye received a modified custom ocular prosthesis. The anterior surface of the prosthesis was over contoured to effectively position the upper eyelid in a superior position and prevent it from migrating downward. The modified prosthesis satisfactorily corrected the drooping of eyelid, restoring the natural appearance of the lost eye. Conclusion: In case of patients suffering from ptosis/ pseudoptosis, a modified ocular prosthesis can replace the lost volume and support the eyelid in superior position, thus correcting the ptosis. In this article, a simple modification of an ocular prosthesis has been demonstrated that rehabilitates the lost eye and restores the aesthetic need of a patient with post-enucleation ocular defect.