WHEN TO REFER TO AN OCULARIST:
PATIENTS WITH EXISTING PROSTHESES
We recommend frequent cleaning and polishing of the prosthesis in order to maintain a healthy and comfortable socket. Each patient is different, and a tailor made plan can be made with the Ocularist. While polishing the prosthesis, the Ocularist will discuss if there are any indications for replacing the prosthesis due to growth or changes in the socket. On average an Artificial Eye needs to be replaced every 3-5 years for an adult.
A scratched or damaged prosthesis should not be worn and can be polished by your local Ocularist.
POST SURGICAL PATIENTS
Generally, patients who have had an enucleation or evisceration should be referred to the Ocularist for the fitting of an Artificial Eye approximately 6 weeks after surgery.
Scleral Shells can be fitted over a blind eye for improved cosmesis. The successful wear of a Scleral Shell is largely determined by the sensitivity of the cornea.
A consultation with the Ocularist will determine if a patient is a suitable candidate for the fitting of a Scleral Shell. This may also involve fitting a clear trial shell to determine the comfort for the individual client.
For Children born with Anophthalmia or Microphthalmia, early prosthetic intervention is important. Refer to the Ocularist as early as possible for the fitting of serially increased prostheses or conformers to encourage and stimulate the natural development of the soft tissue and bony orbit growth.