Rehabilitation after Surgical Treatment for Retinoblastoma: Ocular Prosthesis for a 6‐Month‐Old Child

Abstract

Maxillofacial prosthetic (MFP) rehabilitation can be especially challenging in a young, precooperative, or behaviorally compromised child presenting with an enucleated eye. Retinoblastoma is the most common intraocular malignancy in childhood and is one of the most common pediatric cancers. Treatment consists of enucleation (or removal of the entire globe) followed by placement of orbital implants. Unrestored anopthalmic sockets exhibit growth retardation and can lead to facial disfigurement. This report describes the challenges faced during rehabilitation of a 6-month-old girl with an anophthalmic socket due to enucleation for retinoblastoma. The objective of the MFP team was to provide a custom-built, acrylic ocular prosthesis in as comfortable and atraumatic manner as possible. The case was a success and underscores the value of a multidisciplinary dental approach for the treatment of children with very special needs.

Questionnaire study to gain an insight into the manufacturing and fitting process of artificial eyes in children: an ocularist perspective

“…The psychosocial and cosmetic disorders experienced by the child patient can make behaviour management difficult [20]. In keeping with the literature, this study highlighted trust, patience, reassurance and understanding by the ocularist as important aspects in managing the child patients distress [20].…”

“…Consequently, periodic enlargement is required to aid the normal development of the lids and the soft-tissue lining the orbital bone [20, 22–25]. Variations in how often children require new artificial eyes were highlighted in this study, ranging from 1to 4 years with 2 years being the average.…”

“…Early loss of an eye leads to contraction of tissues around the socket, reduced socket size and depth, decreased residual muscles and shortening of the eyelid rims resulting in asymmetry [20–22]. Consequently, periodic enlargement is required to aid the normal development of the lids and the soft-tissue lining the orbital bone [20, 22–25].…”

Retinoblastoma: Identifying the Diagnostic Signs for Early Treatment

“…Dark spots in the red reflux, a diminished reflux and the presence of a white reflux indicate an abnormality [1]. Thus, an urgent referral to an ophthalmologist for further evaluation is required [24,25]. It is advised that children with a positive family history of Rb are screened soon after birth.…”

Desenvolvimento e avaliação colorimétrica de íris digitalizada obtida através de impressão em etiqueta autocolante e em adesivo

“…Ela protege a sensível mucosa que reveste a cavidade, previne o colapso e a deformação das pálpebras, possibilita o direcionamento da drenagem lacrimal, e a manutenção do tônus muscular evitando assimetria no contorno facial (Rezende, 1997;Beumer III;. Além de minimizar os comprometimentos psicológicos (Botelho;et al, 2003)., é fundamental em crianças, no desenvolvimento ósseo normal da região orbital evitando assimetria da face além dos distúrbios psico-sociais e estéticos (Dixit, 2005;Goiato, 2005;Mattos et al, 2006;Goel et al, 2012) nestes casos é indicado o tratamento ocular ortocavitário inicialmente com peças somente em acrílico, ate a criança atingir três anos, quando começaram a fazer próteses oculares estéticas (Hotta et al, 2011;Mowade;.…”