Pediatric adaptation of ocular prosthesis in congenital microphthalmia.

Abstract

Relevance: To highlight the role of the ocularist within our profession. This specific case was selected because the patient had not undergone evisceration and is in the pediatric age group, where self-perception plays a crucial role in personal, social, and emotional development.

Purpose: To describe the complete process of measurement and fitting of an ocular prosthesis in a pediatric patient with congenital microphthalmia. Emphasis is placed on the psychological impact within the patient’s immediate environment, including both family and school settings.

Case Report: A 7-year-old patient with unilateral congenital microphthalmia presents for renewal of their ocular prosthesis. The patient was referred by the Pediatric Ophthalmology Department of Miguel Servet Hospital for their first prosthetic fitting before the age of one. Given the continuous growth and development at this stage, the prosthesis must be regularly adjusted to accommodate the expansion of the orbital cavity, requiring close and ongoing monitoring by the ocularist. Following appropriate measurements, the patient is now benefitting from a new appearance that supports their ocular development.

Conclusion: Multiple studies have demonstrated significant improvements in self-confidence and self-image following the fitting of an ocular prosthesis. This is particularly important during childhood, as it is a critical period for identity formation and the development of social skills.