Case Report December 10, 2025 December 10, 2025

Rehabilitation with an individualized ocular prosthesis in a monocular eviscerated patient

DOI: 10.37039/1982.8551.20250101

ABSTRACT

The loss of the eyeball has a significant aesthetic and social impact, affecting self-esteem and causing feelings of inferiority. Ocular prostheses play a crucial role in functional, aesthetic, and social rehabilitation. This article reports the rehabilitation of a 61-year-old male leucodermic patient with unilateral evisceration, referred to the Facial Prosthesis Service at the Rehabilitation Hospital Center of Paraná. The patient had a motorcycle accident five years ago, resulting in the perforation of his left eye. Physical examination revealed an eviscerated globe with atresia, no secretion, mobile, and painless, making him eligible for prosthetic rehabilitation. A customized ocular prosthesis was produced, painted with ceramic pigments, following molding with a personalized tray and alginate. The process included wax modeling, iris positioning, and pressing with heat-polymerized acrylic resin. After removal, sclera characterization and final acrylic processing were performed. Following finishing and polishing, the prosthesis was adapted and delivered with usage instructions. The customized prosthesis, besides providing aesthetic and adaptive benefits, reduces the accumulation of secretions and microorganisms compared to industrialized ones. The method is effective, providing a satisfactory aesthetic and functional outcome, highlighting the importance of the maxillofacial prosthodontist in ocular prosthetic rehabilitation.