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Prosthetic Fitting Techniques
Factors We Consider
There are a variety of fitting techniques that
have been developed through the years. After attending many conferences
and visiting with other Qcularist, through much experience, I have
found that the same technique should not be used in every situation.
There are several areas we consider when deciding how an individual
should be properly fit.
- First time enculeation or evisceration-never wore a prosthesis
before.
- What type of implant used -HA-Medpore-PMMA sphere-Dermis fat
graph, etc?
- If currently wearing a prosthesis, how accurate is the current
prosthesis.
- How long have they been wearing the current prosthesis and
is it comfortable?
- Is it a child or an adult?
There are other considerations, but the above are
a few general situations I consider when beginning to fit a patient.
Generally some type of impression technique should be used, except
in sockets which do not have an implant. For the most part, the
majority of the recent enucleations do have an implant. There are
different impression techniques, such as a full impression or a
modified impression. When fitting for a scleral shell, we usually
do both types of impressions, and we have been very successful,
although it takes a little longer to complete. The full impression
basically gives you shape of the fornices, and the curvature of
the posterior of the socket or implant, and a modified impression
gives us an accurate reading on the thickness needed for the scleral
shell. This technique improves fit, comfort, motility of the prosthesis,
and in some cases will reduce discharge.
E-mail us now: administration@prostheticeye.com
Or Call Toll Free: 1-800-972-1354
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