Rehabilitation of Exenterated Right Eye: A Prosthetic Challenge


  • Army Dental Centre (Research & Referral), Delhi Cantt, Department of Prosthodontics Crown and Bridge & Implantology, New Delhi, 110010, India


Background: Facial defects can be acquired or congenital, but irrespective of etiology, any maxillofacial structure if damaged or missing will result in an unaesthetic and unappealing personality of individual. Orbital defects are very evident and effect the appearance and social front of the individual. Many modalities are available to rehabilitate the defect of an orbit but prosthetic rehabilitation with silicone prosthesis is a simple and effective approach. Retention is generally achieved by engaging available undercuts or using mechanical accessories or skin adhesives etc. This case report describes successful rehabilitation of right orbital defect using a non-surgical approach with room temperature vulcanized silicone and skin adhesives. Case Report: A 45 yr old male reported with, chief complaint of missing right orbit and unaesthetic appearance secondary to gunshot wound. Patient was not ready for any more surgical procedures or additional accessories and available retentive undercuts were minimal. Hence, conventional silicone prosthesis was made using stock eye shell and room temperature vulcanized silicone retained with skin adhesives. The approach was simple to a complex problem and gave reliable result in very limited time. Conclusion: With extensive orbital defect, rehabilitation is difficult and complex as retention is compromised and it is difficult to match the shade of the prosthesis.This case represents a simple and predictable approach to a case of exenterated right orbit with conventional roomtemperature vulcanized silicone and silicone skin adhesives.


Maxillofacial Prosthesis, Orbital Prosthesis, Orbital Exenteration, Orbital Defect, Silicone Elastomers

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Nath K, Gogi R. The orbit (a review). Indian J. Ophthalmol. 1976; 24:1–14.

Perman K, Baylis HI. Evisceration, enucleation, and exenteration. Otolaryngol Clin North Am. 1988 Feb; 21(1):171–82. PMid:3277114

Nakra T, Simon GJ, Douglas RS, Schwarcz RM, McCann JD, Goldberg RA. Comparing outcomes of enucleation and evisceration. Ophthalmology. 2006 Dec; 113(12):2270–5. PMid:16996606

Stanley JR. Orbital rehabilitation: Surgical and prosthetic. Otolaryngologic Clinics of North America. 1988 Feb; 21(1):189–98. PMid:3277116

Bindhoo YA, Aruna U. Prosthetic rehabilitation of an orbital defect: A case report. J Indian Prosthodont Soc. 2011; 11:258–64. PMid:23204738 PMCid:PMC3205171

Lemon JC, Kiat-amnuay S, Gettleman L, Martin JW, Chambers MS. Facial prosthetic rehabilitation: preprosthetic surgical techniques and biomaterials. Current Opinion in Otolaryngology and Head and Neck Surgery. 2005 Aug 1; 13(4):255–62. PMid:16012251

Shifman A. Simplified fabrication of orbital prostheses using posterior attachment for the artificial eye. Journal of Prosthetic Dentistry. 1993 Jan 1; 69(1):73–6.

Jooste CH. A method for orienting the ocular portion of an orbital prosthesis. The Journal of Prosthetic Dentistry. 1984 Mar 1; 51(3):380–2.

Chalian VA, Drane JB, Standish SM. Maxillofacial prosthetics: Multidisciplinary practice. Williams & Wilkins Company; 1972. PMid:4560447

Beumer J, Curtis TA, Firtill DN. Maxillofacial rehabilitation: Prosthodontic and surgical considerations. CV Mosby: St Louis; 1979. p. 364-71.

Mathews MF, Smith RM, Sutton AJ, Hudson R. The ocular impression: A review of the literature and presentation of an alternate technique. Journal of Prosthodontics. 2000 Dec; 9(4):210–6. PMid:11320473

Pow EH, McMillan AS. Functional impression technique in the management of an unusual facial defect: A clinical report. The Journal of Prosthetic Dentistry. 2000 Oct 1; 84(4):458–61. PMid:11044855

Manvi S, Ghadiali B. Prosthetic rehabilitation of a patient with an orbital defect using a simplified approach. The Journal of Indian Prosthodontic Society. 2008 Apr 1; 8(2):116.

Guttal SS, Patil NP, Nadiger RK, Rachana KB, Basutkar N. Use of acrylic resin base as an aid in retaining silicone orbital prosthesis. The Journal of Indian Prosthodontic Society. 2008 Apr 1; 8(2):112.

Taylor TD, editor. Clinical maxillofacial prosthetics. Berlin; 2000.

Jebreil K. Acceptability of orbital prostheses. Journal of Prosthetic Dentistry. 1980 Jan 1; 43(1):82–5.

Thanawala SK, Chaudhury MK. Surface modification of silicone elastomer using perfluorinated ether. Langmuir. 2000 Feb 8; 16(3):1256–60.


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