Losing an eye, whether due to an accident, a medical condition, or a congenital defect, can be a very traumatic experience for anyone. In such cases, the medical device used to fill the void left by the missing eye is called an artificial eye, or ``Ocular Prosthesis''. Although many people call these "glass eyes," these are actually not made of glass. They are meticulously crafted to look exactly like a real eye.
Why use an artificial eye?
There are two main reasons for using an artificial eye.
1. Aesthetic: Many people are depressed due to the embarrassment, shame, and anxiety of facing society when they lose an eye. So, wearing an artificial eye that looks like a real eye can give them a great boost to feel confident and comfortable again.
2. Medical reasons: This is not just for looks. This artificial eye helps to protect the eye socket, the space left by the loss of an eye, from foreign objects such as dust and dirt. It is also essential for maintaining the shape of the eye socket and the health of the surrounding tissues.
Sometimes, artificial eyes are also used in conditions such as anophthalmia, where an eye is absent from birth, or microphthalmia, where the eye is very small.
What are the types of artificial eyes?
There are several types of artificial eyes. Although there are pre-made (stock) ones, experts always recommend using an artificial eye that is specifically designed (customized) to fit each individual.
| Artificial eye type | A simple explanation |
|---|---|
| Prosthetic Contact Lens | This is used to restore the appearance of the eye if the eye has been damaged but the eyeball has not been removed. It also helps with conditions such as photophobia. |
| Scleral Shell | If part of the eye is left, this is worn as a thin covering over the eye. This is useful in cases where the eye has been damaged and shrunken (Phthisis bulbi). |
| Conformer | This is a temporary device. After eye removal surgery, it is used to maintain the shape of the eye socket until a permanent artificial eye is implanted. |
| Orbital Prosthesis | If not only the eye, but also surrounding tissue such as the eyelid and eyelashes have been lost due to a major accident or surgery, this large silicone device is used to restore that complete appearance. |
How does the process of getting an artificial eye work?
This must be done very carefully, it is a process consisting of several steps.
1. Removal of eye tissue: First, the ophthalmologist will surgically remove any remaining eye tissue. This surgery is called ``Evisceration`` or ``Enucleation``.
2. Socket Implant: Usually, when the eye is removed, a socket implant is inserted to maintain the shape of the eye socket. This is what allows the artificial eye to fit properly.
3. Placing a conformer: After surgery, a temporary plastic covering called a ``conformer'' is placed. This protects the eye socket until the permanent eye is formed.
4. Allow time for healing: It may take several weeks or months for the eye socket to fully heal after these surgeries.
5. Wax Impression: After the eye socket has healed, an ophthalmologist will use a wax impression to take the exact measurements of your eye socket.
6. Customization: Next, the new artificial eye is meticulously crafted to exactly match the shape, size, color, and movement of your other healthy eye.
7. Coloring: The black iris of the other eye and even the fine blood vessels in the white part of the eye are painted onto the new artificial eye in the same way.
8. Putting on the artificial eye: Finally, the specialist removes the temporary conformer and inserts the newly made artificial eye into the eye socket. He or she will also show you how to remove and reinsert it.
This entire process can take several days or weeks, so you may need to see the specialist several times to get the perfect fit.
How long can an artificial eye be used?
If you clean it well and have it polished by a professional at least once a year, it can usually last for about 5 years in good condition. Some last even longer.
What are the possible side effects of wearing an artificial eye?
If cleaned and used correctly, the risk of complications is very low. However, sometimes you may see things like this:
- Eye socket discharge.
- Feeling pain in the eye socket.
- Ectropion (turning of the lower eyelid outward).
- Drooping of the upper eyelid (Ptosis).
- Infection of the eye socket or surrounding tissues.
- Inability to close the eyelid completely (Lagophthalmos).
If you experience any discomfort like this, tell your doctor or ophthalmologist immediately.
What can be done to make it easier to use?
There are several things you can do to make wearing an artificial eye easier.
- Clean properly: Clean only as directed by your specialist, using only the fluids he recommends. Using the wrong products can damage your artificial eye.
- Wash your hands before handling: Always wash your hands thoroughly with soap and water before handling the artificial eye. This will help prevent infection from germs on your hands.
- Use Artificial Tears: If necessary, you can use artificial tears to increase the lubrication and comfort of the eye. Ask your doctor about this.
- Don't take them out too often: This is not like a regular contact lens. According to experts, you should take them out as infrequently as possible (e.g., less than once a month). It is generally advised not to take them out even when sleeping.
Losing an eye is a big challenge in life. However, with the advancement of technology, artificial eyes are not just something for looks. They are a medical device that protects your health, gives a great boost to your mental well-being and self-confidence . If you are facing a similar situation, talk openly with your doctor about it. They will help you find the best solution for you.
Take-Home Message
- An artificial eye is an important medical device that restores vision and protects the eye socket.
- A customized artificial eye is best suited to each individual.
- The process of obtaining this takes some time, including surgery and recovery time. It is important to be patient.
- It can be used for a long time with proper cleaning and maintenance according to the instructions provided by the expert.
- If any pain, discomfort, or other problems arise, see your doctor immediately.
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