Orbital prosthesis

An orbital prosthesis or epithesis is indicated for the rehabilitation of a congenital malformation or following an illness (e.g. the ablation of a tumour) or in the wake of a trauma.

The aim is to restore the patient's look and expression and the fine delicacy of the surrounding skin. The epithesis must blend in with the contours of the face and finely reproduce the texture and colouring of the skin. The most appropriate and sure means of retention is selected in collaboration with the medical team according to technical feasibility and the patient's wishes. The means of retention available are:
- a bone-anchored orbital epithesis. Here, attachments are fitted into the edges of the orbital bone by the surgeon and magnets placed on the back of the epithesis to hold it in place. This technique means the epithesis is held securely in place, it is easy to put on and easy to clean. Furthermore, it allows the site to be monitored in the case of illness.
- an adhesive orbital epithesis. A biological adhesive is used to hold the epithesis directly against the skin. It is the simplest method of fitting an epithesis and is sometimes temporary while waiting for implants to be fitted.
- a self-retentive orbital epithesis. Here, the edges of the cavity will hold the epithesis, which fits snugly into all the surrounding hollows and stays in place without using any adhesive.
- frame-mounted epithesis. This solution is often chosen as a temporary option while waiting for implants to be fitted. In this case the epithesis is attached to glasses using magnets, or else adhesive is used to fix them onto glasses frames.
Making an orbital epithesis includes the ocular prosthesis (the glass or resin eye made-to-measure and painted by an ocularist), eyelids with eyelashes, sometimes eyebrows and the means of retention, such as magnets if the bone-anchoring method is used.

We would like to present some of our patients and their comments and we thank everyone who kindly accepted to appear on this website and have contributed their testimonies.