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Concerns of anophthalmic patients—a comparison between cryolite glass and polymethyl methacrylate prosthetic eye wearers

  • Alexander C. Rokohl
  • Konrad R. Koch
  • Werner Adler
  • Marc Trester
  • Wolfgang Trester
  • Nicola S. Pine
  • Keith R. Pine
  • Ludwig M. Heindl
Oculoplastics and Orbit

Abstract

Purpose

To compare the concerns of experienced cryolite glass and (poly)methyl methacrylate (PMMA) prosthetic eye wearers.

Methods

One hundred six experienced cryolite glass and 63 experienced PMMA prosthetic eye wearers completed an anonymous questionnaire regarding general and specific prosthetic eye concerns at least 2 years after natural eye loss. From these independent anophthalmic populations, we identified 34 case-control pairs matched for the known influencing demographic variables of gender, occupation, age, and time since natural eye loss.

Results

The levels of concern were significantly lower in the cryolite glass group than those in the PMMA group for the following: loss of balance (p < 0.001), phantom sight vision (p < 0.001), pain (p < 0.001), receiving good advice (p = 0.001), fullness of orbit (p = 0.001), size (p = 0.007), direction of gaze relative to the healthy fellow eye (p = 0.005), eye lid contour (p = 0.037), comfort of the prosthetic eye (p < 0.001), colour relative to the healthy fellow eye (p < 0.001), and retention of the prosthetic eye (p < 0.001). Concerns about watering, crusting, discharge, visual perception, appearance, movement of the prosthetic eye, and health of the remaining eye were not significantly different between both groups.

Conclusions

The results of this study showed that many general and specific levels of concern were significantly lower for cryolite glass prosthetic eye wearers than for PMMA prosthetic eye wearers. The question of why there are significant differences and to what extent the material of the prosthesis (cryolite glass or PMMA) has an impact on various concerns remains unanswered and should be addressed in a prospective comparative multicentre trial.

Keywords

Ocular prosthesis Artificial eye Prosthetic eye Cryolite glass PMMA Anophthalmia Concerns Quality of life 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest. All authors have full control of all primary data and they agree to allow ‘Graefe’s Archive for Clinical and Experimental Ophthalmology’ to review their data upon request.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee of the University of Auckland and of the University of Cologne and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Alexander C. Rokohl
    • 1
  • Konrad R. Koch
    • 1
  • Werner Adler
    • 2
  • Marc Trester
    • 3
  • Wolfgang Trester
    • 3
  • Nicola S. Pine
    • 4
  • Keith R. Pine
    • 5
  • Ludwig M. Heindl
    • 1
  1. 1.Department of OphthalmologyUniversity Hospital of CologneCologneGermany
  2. 2.Department of Medical Informatics, Biometry and EpidemiologyFriedrich-Alexander University Erlangen-NürnbergErlangenGermany
  3. 3.Trester-Institute for Ocular Prosthetics and Artificial EyesCologneGermany
  4. 4.Auckland District Health BoardAucklandNew Zealand
  5. 5.School of Optometry and Vision ScienceUniversity of AucklandAucklandNew Zealand

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