Background: Ocular defects due to eye enucleation may affect patient psychologically. Individual ocular prothesis have several advantages compared to stock ocular prothesis. Acrylic based is one of the most used individual ocular prothesis. Objective: To describe a simple method of fabricating ocular prothesis by combination of an old custom prothesis for precise and better treatment. Material and Methods: Patient management was started from subjective and objective examinations, impression with light body using existing ocular prothesis was taken, wax pattern had made as a base of sclera, shade guide was taken with the help of tooth shade guide. The next procedure was attaching the iris and pupil on the acrylic based sclera using transparent graph grid. Photography of contralateral eye was taken for mimicking iris color for aesthetical and natural individual ocular prothesis Results: The results were satisfactory with acceptable in aesthetic, retention and stabilization Conclusion: The acrylic based custom ocular prothesis can help to restoring the eye defect after enucleation with good aesthetics, retention and stabilization.
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