Socket Complications

Abstract

Most prosthetic eyes are cosmetically satisfactory and cause little trouble in use. Sometimes, however, the socket and eyelids are distorted due to scarring, tissue loss or through recession over time. These complicated sockets present a challenge to the ocular prosthetist and the oculo-plastic surgeon. Modifications to the prosthesis may go a long way towards improving cosmetic outcomes and, in many cases, offer a satisfactory alternative to oculo-plastic surgery. However, surgical procedures provide more scope for improvement than modifying the prosthesis alone, and it is important that patients are fully informed and made aware of the range of solutions offered by both prosthetist and surgeon. One well-informed patient may happily accept a partial solution to their problem to avoid the inconvenience of surgery, while another might want everything done that can be addressed safely and effectively. Surgical interventions used to address specific issues need be considered within the context of the entire face as each change has implications for other facial features. Often, the best results will be achieved through a combination of both socket surgery and prosthesis modification.