# Aesthetic and Functional Rehabilitation of Phthisis Bulbi Through Custom Scleral Shell Prosthesis: A Technical Case Report

## TL;DR

A custom scleral shell prosthesis was created to restore both the appearance and comfort of a patient with phthisis bulbi, an advanced eye condition.

## Contribution

The paper introduces a detailed technical approach for creating a custom scleral shell prosthesis that improves aesthetics and function in phthisis bulbi cases.

## Key findings

- Custom scleral shell prostheses offer better aesthetics and pressure distribution compared to traditional prosthetics.
- The fabrication process includes precise steps like impression making, wax trials, and iris matching to achieve a natural look.
- Such prostheses can significantly enhance psychological well-being and quality of life for affected patients.

## Abstract

This case report presents the fabrication of a custom scleral shell prosthesis for a young female patient with phthisis bulbi resulting from a childhood injury. Phthisis bulbi, an end-stage ocular condition, poses significant challenges due to its effects on orbital anatomy and function. The report describes the procedural steps involved, including impression making, cast fabrication, wax trial, iris orientation and matching, flasking, curing, characterization, and final finishing. Custom scleral shell prostheses are highlighted as a superior option compared to other prosthetic alternatives, as they allow precise customization, provide uniform pressure distribution, and offer improved aesthetics. The discussion emphasizes the importance of prosthetic design, anatomical considerations in phthisical eyes, biomechanical principles, material selection, and the need for customization. This approach not only restores appearance but also enhances psychological well-being and quality of life. The case underscores the need for ongoing interdisciplinary research and innovation to advance ocular prosthetics and improve patient outcomes.