The Prosthetic Eye
Loss of An Eye
The loss of an eye is called anophthalmia (anophthalmos) and is a physically and psychologically traumatic event. It has tremendous influence and impact on the rest of one’s life. One can be born with the condition (congenital anophthalmia) or it can occur after trauma or surgery (acquired anophthalmos).
Traditionally, surgeons who work with these problems have concentrated primarily on restoring function (how the lids and false eye function). Prosthetic eye surgery is a form of reconstructive ophthalmic plastic surgery. Attaining a good outcome in this regard can be quite challenging for the surgeon, and frustrating for both the surgeon and patient.
It is important for patietns to find an expert oculoplastic surgeon who specialize in this area of surgery and have developed unparalleled experience with a wide range of eyelid and orbital procedures, such as:
• Ptosis repair (lid lifting)
• Eyelid and orbital fat grafting (filling depressed areas)
• orbital implant surgery (placing material in the socket to replace the lost eye)
• Canthoplasty (tightening loose and sagging lower lids)
Dr. Massry has extensive experience in these types of eyelid and orbital surgeries, which allows him to create a functional and aesthetic outcome for his prosthetic eye (false eye) patients.
Reconstructive Ophthalmic Plastic Surgery Aesthetics
In addition to the physical element of needing an artificial eye to be placed to restore a "normal" appearance, there are also significant psychosocial impacts from the loss of an eye (anophthalmia). To address these impacts there must be a shift in the surgeon's thought and surgical approach to considering aesthetics (appearance) as much as function (how things work) when working with a patient who is need of an artifical eye.
How do we do achive both function and aesthetics after prosthetic eye surgery?
The first step is to approach the loss of an eye and the fitting of a new prosthetic eye with facial aesthetics in mind. We do this with cosmetic surgery all the time, therefore we can absolutely also do it with anophthalmia surgery. However, our primary goal is of course first, and foremost, for the prosthetic eye and eyelids to be restored to normal function.
Dr. Massry works incredibly hard to make sure his patients look as much like themselves as possible after anophthalmia surgery. To achive this, he uses the same surgical techniques and aesthetic principles he uses for his cosmetic patients. First, he makes the side that has lost an eye appear as symmetrical as possible to the normal side. Creating symmetry for each patients is different, but most commonly requires Dr. Massry to adjust the brow, upper eyelid, and/or lower eyelid positions so that they mirror the normal brow or eyelids as closely as possible.
During your prosthetic eye surgery consultation with Dr. Massry, he will examine your eyelids and eye sockets in order to determine the best treatment plan for you. At this point he will discuss realistically what aesthetic goals can be achieved so that both of you agree on the expected outcome of the surgery.
Because of this comprehensive approach, Dr. Massry is truly the best anophthalmia and prosthetic eye surgeon. The anophthalmia patients he has treated always tell Dr. Massry how much happier and confident they are after their aesthetic prosthetic eye surgery. Learn more in depth about aesthetic anophthalmia surgery with Dr. Massry.
Before and After Prosthetic Eye (False Eye) Surgery