Rehabilitation of an Anophthalmic Socket Through Modification of an Existing Ocular Prosthesis: A Case Report

Abstract

Ocular prostheses play a crucial role in restoring both functional and esthetic outcomes for patients with anophthalmia. However, long-term complications such as iris discoloration are frequently encountered and often require clinical intervention. This case report describes the esthetic rehabilitation of a discolored ocular prosthesis in a 50-year-old male who had been wearing the prosthesis for three years. The discoloration, which compromised facial symmetry and patient confidence, was managed through a conservative and cost-effective approach. The procedure involved removal of the discolored iris, digital imaging of the contralateral eye, and fabrication of a new iris using high-resolution digital photography, followed by repolishing and reinsertion without altering the original scleral structure. The outcome demonstrated excellent esthetic integration and high patient satisfaction, eliminating the need for complete prosthesis replacement. This report highlights the clinical value of digital iris reproduction as a minimally invasive, time-efficient, and cost-effective technique for ocular prosthesis modification.

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