Novel techniques for precise fixation of gaze in ocular prosthesis - Case series

Authors : Rahul Bahri, Rahul Bahri, Parag Dua, Parag Dua, S K Bhandari, S K Bhandari, Vijaya Kumar R, Vijaya Kumar R, Poonam Prakash, Poonam Prakash

DOI : 10.18231/j.aprd.2020.024

Volume : 6

Issue : 2

Year : 2020

Page No : 114-119

Primary goal in successful rehabilitation of a patient with ocular defect is to fabricate a well-fitted ocular
prosthesis that mimics the original shape and position of the residual anatomical structures and restores
volume of the defective socket. Adequate palpebral opening, iris-scleral visibility, color and size of iris,
centering of pupil, shade of sclera, proper fixation of gaze and characterization of prosthesis are the key
aspects that deserve meticulous attention. Fixation of gaze and selection of iris size can be achieved by
various techniques. Four techniques involving usage of millimeter markings and numerical values with
armamentarium such as spectacles with graphic grid, cassette holder with grid, modified graphic grid
ruler, RS-3 Ophthalmic pupil distance meter coupled with digital imaging technique for iris selection are
highlighted through these case series.

Keywords: Gaze, Digital iris, Pupil Distance Meter, Graphic Grid.


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