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KMID : 0360220190600030217
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Journal of the Korean Ophthalmological Society
2019 Volume.60 No. 3 p.217 ~ p.222
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Prosthesis Care in Long-term Prosthetic Eye Wearers
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Kim Hyun-Yeon
Kim Keun-Hae
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Abstract
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Purpose: To aid in the prosthesis care by comparing anophthalmic eyes with normal eyes in anophthalmic patients wearing prosthetic eyes for more than 1 year.
Methods: We retrospectively reviewed the medical records of 40 anophthalmic eyes and 40 normal fellow eyes of 40 patients who wore prosthetic eyes for more than 1 year after unilateral eye removal and orbital implant insertion. We compared data obtained from medical records on sex, age, punctal abnormality, lagophthalmos, eye discharge characteristics, tear meniscus height, upper eyelid palpebral conjunctiva, Meibomian gland dysfunction, Schirmer’s test, lacrimal irrigation test, diagnostic probing, period of wearing the prosthetic eye, and frequency of prosthesis removal between anophthalmic eyes wearing a prosthesis and normal eyes.
Results: Anophthalmic eyes with lagophthalmos wearing a prosthesis had a higher frequency of eye discharge than eyes without lagophthalmos (p = 0.04). Eyes with frequent prosthesis removal had a higher frequency of eye discharge than eyes with less frequent prosthesis removal (p = 0.04). However, lagophthalmos and prosthesis removal frequency were not associated with tear meniscus height, or the results of Schirmer’s test, or the lacrimal irrigation test (0.174 < p < 0.971).
Conclusions: The frequency of prosthesis removal and presence of lagophthalmos can affect the discharge of anophthalmic eyes. It is advisable not to remove the prosthesis more than once a month to minimize eye discharge.
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KEYWORD
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Anophthalmos, Ocular prosthesis
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