Menu
goz-protezi-ameliyati

Eye Prosthesis Surgery


An eye prosthesis is an artificial piece of the eye that is used to replace a lost eye. As an ophthalmologist, I would like to point out that eye prostheses are not only for cosmetic purposes, but are also of great importance from a psychological and social point of view. These prostheses help our patients regain their self-confidence and continue their daily lives more comfortably.

Eye prostheses are usually made of materials such as acrylic or glass and are specially designed for each patient. In our clinic, we use advanced technology to produce high-quality prostheses that mimic the natural appearance of patients as closely as possible. These prostheses are carefully prepared in a way that is compatible with the patient's other eye in terms of color, shape and size.

Eye prostheses are important not only in terms of appearance, but also in terms of maintaining the health of the eye socket. An empty eye socket can pose a risk for infection and other complications. Therefore, the use of a proper prosthesis protects the structure of the eye socket and prevents possible health problems.

The Necessity of Eye Prosthesis Surgery

Eye replacement surgery may be necessary for a variety of reasons. Among the most common causes are the following:

  1. Traumatic eye injuries
  2. Advanced-stage eye tumors
  3. Severe eye infections
  4. Congenital eye anomalies
  5. Sore eyes that have completely lost their eyesight

In any of these cases, removal of the eye (enucleation or evisceration) may be necessary. This procedure is done to protect the overall health of the patient and provide a better quality of life.

As ophthalmologists, we always have our patients' best interests in mind when deciding on eye replacement surgery. In making this decision, we carefully consider factors such as the patient's medical history, current condition, and future quality of life.

Eye replacement surgery can be life-saving in some cases. For example, in cases of eye tumors, the eye may need to be removed to prevent the tumor from spreading. Likewise, in severe infections, this surgery may be necessary to prevent the infection from spreading to the brain.

Preparation Before Eye Replacement Surgery

The preparation process before eye replacement surgery is critical for the success of the surgery and the patient's recovery. In this process, we conduct a detailed examination of our patients and carefully examine their medical history. In addition, we determine the tests to be done before the surgery and the precautions to be taken.

During the pre-operative preparation process, we usually follow these steps:

  1. Comprehensive eye examination
  2. General health check
  3. Blood tests
  4. Imaging tests (MRI, CT scan, etc.) if necessary.
  5. Review of drug use
  6. Anesthesia assessment

We advise our patients to fast for at least 8 hours before surgery and not to smoke. We also give specific instructions on the use of blood thinners, as these drugs may increase the risk of bleeding during surgery.

In the preoperative period, we provide detailed information to our patients and their families about the surgical process, risks and expected results. This helps patients mentally prepare for surgery and feel more comfortable. We also provide information about post-operative care and the recovery process and answer their questions.

Eye Prosthesis Surgery Process

Eye replacement surgery is a procedure that is usually performed under general anesthesia. The surgical process may vary depending on the patient's condition and the technique to be applied, but usually involves the following steps:

  1. Anesthesia Application: After the patient is taken to the operating room, general anesthesia is applied by the anesthesiologist.
  2. Eye Removal Procedure: Depending on the situation, enucleation (removal of the entire eye) or evisceration (removal of intraocular tissues, preservation of the cornea and sclera) is applied.
  3. Implant Placement: An implant is placed in the eye socket, usually made of a biocompatible material such as silicone or hydroxyapatite. This implant makes the eye prosthesis look and move more naturally.
  4. Repositioning of Eye Muscles: The eye muscles are repositioned by suturing to the implant or surrounding tissues. This increases the mobility of the eye prosthesis to be worn in the future.
  5. Wound Closure: The eye socket and eyelids are carefully closed and sutures are placed.

The duration of the operation usually varies between 1-2 hours, but this time may vary depending on the patient's condition and the technique applied. During surgery, we take great care to ensure sterile conditions and minimize the risk of infection.

After the operation, the patient is kept under observation for a while and pain management is provided. They are usually discharged one day after surgery, but this period may vary depending on the general condition of the patient.

Postoperative Recovery Period

The recovery period after eye replacement surgery may differ from patient to patient, but it usually takes between a few weeks and a few months. During this period, we provide close follow-up and support to our patients. We can summarize the healing process as follows:

  1. First Week:
    • Swelling and bruising may occur in the surgical area.
    • There may be pain and discomfort, but these can usually be controlled with prescribed medications.
    • A bandage or protective shield is placed on the patient's eye.
  2. 2-4 Weeks:
    • Swelling and bruising begin to subside.
    • Stitches are usually removed during this period.
    • The patient may begin to return to his daily activities gradually.
  3. 1-3 Months:
    • Healing is largely complete.
    • A temporary eye prosthesis may be attached.
    • The patient can return to normal activities.
  4. 3-6 Months:
    • For permanent eye prosthesis, measurements are taken and the prosthesis is prepared.
    • The patient begins to get used to the new eye prosthesis.

In this process, we make the following recommendations to our patients:

  • Use the prescribed medications regularly.
  • Keep the eye area clean and dry.
  • Avoid heavy lifting and strenuous physical activity.
  • Come for regular check-ups.
  • In case of any abnormal symptoms (severe pain, excessive bleeding, fever, etc.), contact us immediately.

During the healing process, it is also important to provide psychological support to our patients. It may take time to get used to their new look and accept the change. For this reason, we provide referrals to psychological counseling services when necessary.

Types of Eye Prosthesis

Eye prostheses vary according to the needs and preferences of the patient. We work diligently to choose the most suitable prosthesis for each patient. Here are the most common types of eye prostheses:

  1. Acrylic Eye Prostheses:
    • The most commonly used type
    • Lightweight and durable
    • Customizable color and pattern
    • Easy to clean and maintain
  2. Glass Eye Prostheses:
    • An older technology
    • Provides a natural look
    • Fragile structure
    • It may need to be changed frequently
  3. Silicone Eye Prostheses:
    • Soft and flexible structure
    • Adapts better to the eye socket
    • Less irritating
    • Especially suitable for children
  4. Hydroxyapatite Implants:
    • Similar to natural bone structure
    • It is better accepted by the body
    • Provides better movement
    • It is placed during surgery
  5. Inflatable Implants:
    • Its size can be adjusted after surgery
    • Requires less invasive surgery
    • It provides an advantage in the healing process

Each type of prosthesis has its own advantages and disadvantages. We choose the most suitable prosthesis by taking into account factors such as the patient's age, lifestyle, condition of the eye socket and personal preferences.

Eye prostheses usually need to be renewed every 3-5 years. This is due to the fact that the color and shape of the prosthesis can change over time, and the structure of the eye socket can also change over time.

We provide our patients with detailed information about the regular maintenance and cleaning of eye prostheses. Proper care prolongs the life of the prosthesis and prevents possible complications.

 

soru-icon