Orbital prosthesis or epithesis

The following steps are followed when creating a prosthesis:

1. Choosing Between Adhesive and Implants
   There are two ways to attach the prosthesis: with adhesive or on implants secured with screws. If possible, the surgeon will place the implants during surgery. Implants provide a secure anchor for the prosthesis. Once the skin has healed after surgery and/or radiation therapy and any implants are visible, the process of creating the prosthesis can begin.
2. Facial Impression
   First, an impression is taken of the specific part of the face where the prosthesis will be placed. This is done using a rubber-like material. The purpose of this impression is to create an accurate model of the face.
3. Making an artificial eye
   In some hospitals, the prosthetists make the eye shells themselves. In other places, they are made by an ocularist.
4. Wax Epithesis
   Based on the impression and, for example, a photograph, the prosthetist creates a wax epithesis. This model is precisely adapted to the shape and structure of the affected area. During the second appointment, the patient tries on this wax epithesis. Together with the prosthetist, they determine whether any further adjustments are needed.
5. Making a Molding Mold
   Once the wax model is ready, a molding mold can be made from it. This mold is filled with silicone that has been colored to match the desired shade.
6. Fitting the prosthesis
   The facial prosthesis will be fitted at the next appointment.

• Your prosthesis is made of silicone, a flexible material that can be colored. Unfortunately, silicone discolors over time due to sunlight, smoking, and your skin’s acidity.
• On average, the prosthesis is replaced every 1.5 to 2 years for the following reasons:
  – Excessive discoloration.
  – Worn edges from wearing and cleaning.
  – The shape no longer fits snugly against your skin.
• In almost all cases, the health insurance provider covers the cost of the prosthesis. The hospital will handle the authorization request for you.

Cleansing the Skin

• The skin around the implants may be sensitive and thin.
• Use a soft toothbrush and lukewarm water to clean your skin.
• In the shower, rinse the shampoo thoroughly from around the implants.

Scabs and Care

• If a crust forms around the implants, you can gently remove it.
• Use a cotton swab and Zwitsal baby oil or Oral-B Superfloss.

Learn more about eye and orbital prostheses