Below is a short movie of one of our patients with
the Magnetic Attraction System in his right socket. You can see
that the movement of the prosthesis is greatly improved with the
magnet in place.
Several years ago Scott Garonzik, Ocularist for
the Prosthetic Eye Institute began testing on the magnetic attraction
system for prosthetic eye wearers to increase the motility of the
prosthetic eye. Dr. Timothy Murray, M.D. from Bascom Palmer Eye
Institute did a study using Scott’s system. The system showed
great promise adding movement to the prosthetic eye without many
of the complications experienced in the past systems.
Scott received 2 (two) patents and has sold the
rights to market the system to one of the major implant manufacturers
(Porex Surgical) who recognized the systems potential. Scott developed
the system and it has been approved by the FDA and is available
for use by surgeons. The system contains a non-magnetic titanium
screw that is placed in the MEDPOR implant and is completely covered
with socket tissue at the time of surgery. The Ocularist can then
fabricate a custom prosthesis with small 1mm thick magnet(s) in
the back of the prosthesis. The Ocularist will determine how many
magnets to use to adjust the magnetic coupling force between the
prosthesis and the implant. The magnet(s) are buried within the
back of the prosthesis and covered with the same acrylic material
used in making the prosthesis. The result is that the socket tissue
is not exposed to the magnetic material. The magnets are only placed
in the prosthesis; therefore there are no concerns about reverse
polarity between the implant and the prosthesis.
How well the system works depends on two factors,
the surgical technique used to insert the screw in the implant and
the fitting technique used by the Ocularist to insert the magnet
in the prosthesis. We have also found that continuous care and refits
of the prosthesis will help to keep the system working well and
help to avoid socket complications. This is also true for regular
prosthetic eye wearers.
We fit approximately 80 – 100 patients monthly
with artificial eyes. One of the complications commonly seen is
the thinning of the tissue covering the implant, which is referred
to as the conjunctiva. This is the tissue between the artificial
eye and the implant, which was surgically placed at the time of
the eye removal. Almost every prosthetic eye fit around the world
for the past 50 years is fit without the benefit of a coupling system.
Movement of the prosthesis has always depended on the movement to
be transferred to the prosthesis by the implant rubbing against
the prosthetic eye.
In our experience with the patients who received
the magnetic attraction system along with their prosthetic eyes,
one of the noted benefits of the magnetic attraction system was
a reduction in the friction of the prosthesis rubbing against the
conjunctiva as the magnetic system allows the prosthesis to move
with the implant rather than rub against the tissue covering the
implant.
The study that was conducted by Dr. Timothy Murray and Scott Garonzik,
Ocularist will be published in the Archives of Ophthalmology in
the near future. The study consisted of fitting a group of patients
with prosthetic eyes using the magnetic attraction system. In all
cases we had the patient wear the prosthesis with and without a
magnet. First we would fit the patient with a prosthetic eye without
using the magnet and have the patient wear the prosthesis for 30
– 90 days. After this we would use the same prosthesis and
insert a magnet into the posterior area of the prosthetic eye, using
an impression to align where to place the magnet. In every case,
it was noted that the tissue covering the implant had an obvious
thinning when they wore the prosthesis without the magnet and thickening
of the conjunctiva with the magnet in place.