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Motility of the Ocular Prosthesis in Anophthalmic Patients: Objective and Patient-perceived Findings.

Motility of the Ocular Prosthesis in Anophthalmic Patients: Objective and Patient-perceived Findings.

Authors :
van Renterghem, Victoria
Ruiters, Sébastien
Mombaerts, Ilse
Source :
Orbit. Aug2023, Vol. 42 Issue 4, p383-388. 6p.
Publication Year :
2023

Abstract

To study the impact of the prosthesis motility on the Quality of Life (QoL) in anophthalmic patients. Cross-sectional, observational study of 100 anophthalmic patients, of whom 64% had an acryl implant, 6% an Allen implant, 1% a hydroxyapatite implant, 4% a dermis fat graft, 16% no implant, and 9% an unknown implant. We quantitatively assessed the motility of the prosthesis with Kestenbaum glasses and the QoL with a validated questionnaire covering five domains: General functional abilities and care, wearing comfort, physical appearance, psychological and social functioning. Associations between measured prosthetic eye motility, patient-perceived motility, and satisfaction were made. Motility of the prosthesis was impaired with an average loss of 76%, and correlated with Cosmetic satisfaction (adduction P =.02, abduction P =.008, elevation P =.04) and Social satisfaction (adduction P =.03, abduction P =.003). The patient-perceived motility of the prosthesis correlated with General functioning abilities (horizontal P =.0004, vertical P =.0004), Comfort (horizontal P =.001, vertical P =.003), Cosmetic satisfaction (horizontal P =.0002, vertical P =.0002), Psychological satisfaction (horizontal P =.001, vertical P =.001), and Social satisfaction (horizontal P =.002, vertical P =.003). Ocular prosthetic motility has a significant impact on patient-perceived satisfaction and physical appearance, and predicts coping with the prosthetic condition on the psychosocial level. This highlights the need of introducing patient-reported outcome measures in the prosthetic rehabilitation of the anophthalmic patient. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01676830
Volume :
42
Issue :
4
Database :
Academic Search Index
Journal :
Orbit
Publication Type :
Academic Journal
Accession number :
169708942
Full Text :
https://doi.org/10.1080/01676830.2022.2107687