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Orbital Implants and Ocular Prostheses

April 20, 2014

An oculoplastic surgeon performing an Enucleation of the eye procedure.

Removal of the eye by enucleation or evisceration can relieve pain and minimize further risk to life and well-being of an individual with the above noted conditions. In addition, procedures to remove the eye should address the resultant appearance of the orbit. Orbital implants and ocular prostheses are used by the surgeon to restore a more natural appearance.

An orbital implant is placed after removal of the eye to restore volume to the eye socket and enhance movement or motility of an ocular prosthesis and eyelids. The eyeball is a slightly elongated sphere with a diameter of approximately 24 millimetres. To avoid a sunken appearance to the eye socket, an implant approximating this volume can be placed into the space of the removed eye, secured, and covered with Tenon's capsule and conjunctiva (the mucous membrane covering the natural sclera). Implants can be made of many materials with the most common being plastic,hydroxylapatite, metal alloy or glass.

Later, once the conjunctiva have healed and post-operative swelling has subsided, an ocular prosthesis can be placed to provide the appearance of a natural eye. The prosthesis is fabricated by an ocularist. Its form is that of a cupped disc so that it can fit comfortably in the pocket behind the eyelids overlying the conjunctiva that covers the orbital implant. The external portion of the ocular prosthesis is painted and finished to mimic a natural eye color, shape and luster. It can be removed and cleaned periodically by the individual or a care giver.

The two part system of orbital implant and ocular prosthesis provides a stable, and well tolerated aesthetic restoration of the eye socket. Although vision is not restored by removal of the eye with placement of an orbital implant and ocular prosthesis, a natural appearance can result. The implant can be moved by intact extraocular muscles that will track or move simultaneously with the other eye. The visible ocular prosthesis can couple with the orbital implant and thus move simultaneously with the other eye. The eyelids can move and blink over the prosthesis as well.

 

Light Weight or Hollow Custom Prosthesis: Kuldeep Raizada, Ph D, BCO, BADO

April 20, 2014

Light weight or Holllow Prosthesis can be fabricated by hollow out the two side of prosthesis and stick together which allow the air to trap inside, it is good for those whom lot of volume loss and prosthesis is seems to be heavy, a light weight prosthesis can reduce the weight up to 30% from original shape. though it is little time consuming but worth for patient who need it.






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Cosmetic correction for disfigured eyes: Kuldeep Raizada

April 20, 2014

Eye are very much important part of human body organs, in some cases person born with congenital conditions such as scarred cornea, or leucocorea, Sclero-cornea  or someone who lost eyes at later stage of life, cosmetic correction become very very important for such individuals.


Cosmetic correction can be done with the help of oculoplasty surgeon, in case of
  some one eye is painful,  disfigured and bulging forward where a prosthetic  shell is impossible to fit, such individua...


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Insertion and Removal of Artificial Eye

April 20, 2014


Source 
http://www.ocularist.org/removing_inserting_your_prosthesis.asp


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Frequently Asked Questions on Artificial Eye

April 20, 2014

What material is used in making the eye?

They are made using dimensionally stable, medical quality PMMA (Acrylic). This is the same material used in some hip replacements (and related procedures) and the material is compatible with being surgically inserted into the body, therefore allergies to the material are highly unlikely.

How long have artificial eyes been around?

Artificial eye-making has been practiced since ancient times. The first ocular prostheses were made by Rom...


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Helpful Suggestion for An Artificial Eye Wearer

April 19, 2014

HELPFUL SUGGESTIONS FOR ARTIFICIAL EYE WEARER:

It is important to remember that an artificial eye, which appears satisfactory to the wearer, may be an indifferent fit when viewed by the observer. After all, the observer is the one whom you desire to impress and who sees you as you really are. Your expressions when looking in the mirror are entirely different from your expressions when talking. The first are blank but the second are filled with animation, reflections of your ever-changing thoug...


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Care for Artificial Eye: Kuldeep Raizada, Ph D BCO, BADO

April 19, 2014

DAILY ROUTINE

The morning routine for hygiene care begins with a thorough hand scrub including the fingertips.  A warm wet face cloth with a 'no more tears' baby shampoo is then applied to the eyelids since they are normally crusted with secretion. (This shampoo has a neutral pH and will not sting to the socket tissue or the fellow eye, plus it destroys bacteria.) The warm wet face cloth will soften the secretion allowing you to remove it by wiping inward toward the nose. (Do not wipe outward,...


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Ear Prosthesis In India : Deepa D Raizada, M Sc, UK

April 19, 2014

An auricular (ear) prosthesis artificially restores all or part of the ear which has been lost due to radical cancer surgery, amputation, burns and/or congenital defects. The delicate structures remaining after surgery are covered by thin, highly sensitive skin. This soft tissue, being very fragile, must be kept free from irritation and debris from the environment. The protective position of the helix helps to cleanse the air of small particles, which might injure and damage th...


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Facial Prosthesis : Deepa D Raizada, MSc

April 19, 2014

International Prosthetic Eye Center wide range of Maxillofacial and Somato prosthesis for those who suffered and lost the various Part of Body such as Orbit, Eye, Nose, ear, Finger, Hand, Toes, and or complete or incomplete part of body, which we can use and make it as normal as natural part. 
these are the following prosthesis is usually being offered by us.


Maxillofacial Prosthesis


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Digital Irises in India

April 19, 2014

Digital Irises in India

We are excited to announce that Irises Unlimited digital irises are now being used in India.

Dr. Kuldeep Raizada, of Hyderabad, is a board certified ocularist, an anaplastologist, , providing top of the line care to patients from around his country and beyond.

Below are images of an Irises Unlimited iris in action, in India.

IMG_1187 IMG_1188 IMG_1189 IMG_1190 IMG_1197

 


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About Me


Dr Kuldeep Raizada, Ph D, BCO BADO Kuldeep Raizada completed his basic optometry education at Gandhi Eye Hospital, Aligarh, and has his training at L V Prasad Eye Institute, Hyderabad. where he was also Founder and Head of the Department of Ocular Prosthesis services till 2009. He completed a second fellowship, in Anaplastolgy, at MD Anderson Cancer Centre, Houston. He has also been trained by the top most ocularist and anaplastologist in United States of America. His clinical interests include ocular and facial prosthesis, particularly in pediatric patients. His research interests lie in newer advancement in development of new types of prosthesis, newer solution for ptosis corrective glasses. Kuldeep Raizada, is Founder & Director of the International Prosthetic Eye Center since 2010, where he is practicing since 2010. Kuldeep Raizada has been recognized by the American Society of Ocularist, USA and American Anaplastology Association,USA and by several other professional organizations, for his excellence in research and clinical practice. Kuldeep Raizada, have completed all requirements by American Society of Ocularist, which is hard work of 14000 working hours as well extensive study for prosthetics, Hence awarded the Diplomate Ocularist from American Society of Ocularist, USA, 2012, Chicago, USA, which is the First ever received all over Asia Pacific & throughout Middle East so ever. At present he is reviewer of several journals like Contact Lens & Anterior Eye, International Journal of Anaplastology, Oculoplasty & Reconstructive Surgery (OPRS) and Many others. He has published and presented world widely