Non-surgical Approach to Improve Prognosis of Ocular Prostheses for Grade III and IV Contracted Sockets

Non-surgical Approach to Improve Prognosis of Ocular Prostheses for Grade III and IV Contracted Sockets

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Patients with Grade III or IV contracted ocular sockets, most often due to Post Enucleation Socket Syndrome (PESS), suffer from loss of ocular volume along with a lax lower SHAMP eyelid, which complicates prosthetic rehabilitation in terms of fit as well as aesthetics.Surgical correction is preferable, though not always feasible.A non-invasive approach for prosthetic rehabilitation of such difficult cases, using bandaging and Alternator Pulleys progressively larger conformers is described here.