Loss of Eye: Call The Best Surgeon in Atlanta

A prosthetic eye, or ocular prosthesis, is designed to help improve the appearance of people with loss of an eye due to injury or disease. It’s commonly called a glass eye or a fake eye. Implanting a prosthetic eye is almost always recommended after an eye is surgically removed. For most people with loss of an eye, it is vastly preferable to wearing an eye patch or bandage. Michael Neimkin, M.D. at the Ophthalmic Plastic and Cosmetic Surgery Center in Atlanta, GA, is a board-certified expert in the surgical techniques needed after any loss of an eye.

If the entire eye is removed, an ocular implant and prosthesis prevent the tissues in the eye socket from growing to fill the empty space. The prosthetic eye supports proper eyelid functioning. It cannot restore vision. After removal of the natural eye and placement of a prosthetic eye, a person will have no vision in that eye.

The reasons eyes are removed include injury, glaucoma, infection inside the eye, and eye tumors.

About the Prosthetic Eye

  • An oval, whitish outer shell finished duplicating the white color of the other eye
  • A round, central portion painted to look like the iris and pupil of the other eye

Components of a Prosthetic Eye or Glass Eye

At one time it was really made of glass. Today, it is generally made of hard, plastic acrylic. The prosthetic eye is shaped like a shell. The prosthetic eye fits over an ocular implant. The ocular implant is a separate hard, rounded device that is surgically and permanently embedded deeper in the eye socket. An ocular implant is often wrapped with living tissue or a synthetic cushioning material before placement.

Types of Surgery

There are two surgical methods for removing a damaged eye. Dr. Neimkin will decide which method to use based on the type of eye condition you have and the degree of damage to the eye. The type of surgery you have will affect the selection of a prosthetic eye.

There are two surgical methods:

  • Evisceration. The jelly-like inside of the eye is suctioned out. This is done through an incision in the front of the eye. But the procedure preserves tissues in the outer eye.
  • Enucleation. The entire globe-like eyeball is cut away and removed from the eye socket.

Removing a damaged eye is usually performed under local anesthesia. Sedating medicines and pain medicine may be given through the veins to reduce anxiety and pain. General anesthesia is usually not necessary but is an option.
After surgery to remove the natural eye, a ball-shaped ocular implant is permanently and deeply implanted. Later, the removable prosthesis is created to fit over it.

Aftercare and Recovery

Dr. Neimkin may prescribe oral antibiotics for several days after the surgery. Antibiotic eyedrops are usually prescribed for a few weeks. The eye socket remains covered for several months to allow complete healing.

After healing is complete, a specialist in prosthetic eyes, or ocularist, makes wax impressions of the front of the eye socket. The ocularist builds a custom prosthetic eye to fit over the ocular implant. A new iris and blood vessels on the white area are carefully painted on by hand to match the healthy eye. Since the eye socket can change shape after surgery additional fitting and adjustment of the prosthesis may be necessary for weeks or months after initial placement.

Each patient is unique; therefore, results will vary.

If you are suffering from any condition affecting the functionality of your eye make sure to complete our contact form today to schedule a consultation with Dr. Neimkin. At the Ophthalmic Plastic and Cosmetic Surgery Center, Dr. Neimkin and the staff take pride in only offering patients the highest level of care in a family-like environment. Our office serves patients in the metro Atlanta area including the surrounding communities of Sandy Springs, Buckhead, Dunwoody and Roswell.

We look forward to helping you soon.