Frequently asked questions
What is the difference between Ocular Prosthesis and a cosmetic shell?
An Ocular Prosthesis (also known as an artificial eye) replaces the absent natural eye. Typically it is required following enucleation or evisceration surgery. The Prosthesis can fit over an orbital implant (if one has been fitted). A cosmetic shell (also referred to as a scleral cover shell) is a thin Prosthesis designed to be worn over a disfigured and/or discolored eye. The shell covers the entire surface of the disfigured eye.
What is the cost of having an Ocular Prosthesis made?
We quote our patients during their initial consultation. As every patient is different, fees may be affected by the condition of the eye lids or how complicated one’s socket is. Please contact us so we can better understand your requirements.
How long will an Ocular Prosthesis last?
This depends on the patient’s age; for example, if a child requires a Prosthetic, then this will need to be replaced as the child continues to grow and change. For an adult, we expect each Prosthetic to last between 5-7 years.
How long will it take to have an Ocular Prosthesis made?
During the initial consultation, Mr Fatania will take all measurements required to begin creating the Prosthesis. From this point onwards it typically takes between 4-5 days to complete a Prosthesis. Once your Prosthesis has been made we will contact you to arrange a fitting. Should any adjustments need to be made they will be made during your fitting.
How is the Ocular Prosthesis made?
Typically, the journey from measurement to production of an Ocular Prosthesis begins with an impression of the ocular surface. We calculate the ocular geometry therein, to ensure best fit for the socket. A basic shape is then produced and tested. Once we have found a true fit, the position of the iris is marked, and the dimensions of your remaining eye are taken, and using this, a prototype prosthesis is produced. This is then matched for colours, shape and position. Once the specifications are correct, the Prosthesis undergoes the formal manufacturing process and repeated until a true Ocular Prosthesis is produced.
Will the Ocular Prosthesis colour match my remaining eye?
The Prosthetic eye colour can be made to match in colour proximity to the biological eye. We use digital photography throughout the manufacturing process to ensure maximum likeness between the organic eye and the Prosthetic.
What should an Ocular Prosthesis feel like and what can I expect?
An optimal fitting Ocular Prosthesis will feel comfortable and lightweight after the initial adjustment period. It will also allow for the production of natural tears, and shine just like a real eye. It will not result in any discharge. A poorly fit Ocular Prosthesis can result in all of the above complications.
Is it possible to order a Prosthetic online?
We understand that geography can be difficult to overcome and in certain circumstances we will endeavour to work with patients virtually but we strongly recommend all patients to see us in person; not only will this guarantee correct specification but also ensure the Prosthesis is comfortable and safe to wear.
How frequently will I need to return for polishing and cleaning?
We recommend 12 to 18 months before you return for a polish. Once the Prosthesis starts to feel uncomfortable, or you notice more discharge, this is an indication that the Prosthesis needs cleaning and polishing. Your individual needs may vary and you may require polishing or cleaning sooner. If this is the case please contact us as you feel necessary.
I am planning to undergo surgery, should I have my Prosthetic made now or after surgery?
We recommend that our patients undergo any planned surgeries and heal completely before contacting us to have a Prosthesis made.
Can you help me get a referral for surgery or alternative treatments?
We are happy to provide referrals to both the NHS and within the private medical space. We are in contact with a number of Ophthalmologists and Ophthalmic surgeons who specialise in dealing with severe and complex cases.
International Patients - Can you help me obtain a visa to come to the UK?
Whilst we cannot guarantee that visa applications will be accepted by your respective embassy, once an appointment has been booked and a consultation fee paid we will be more than happy to provide you with a letter of confirmation, confirming your appointment, reason for your visit and how long you will need to stay in the UK.
Can I still receive Prosthetic support from abroad?
We are always available to provide support to our patients via email or other virtual means. Should a patient require a clean or a polish, we will endeavour to find a partner to help you with this domestically. Should you require amendments to the Prosthesis, we would be happy make alterations if the Prosthesis is sent via mail. Please note that eye excellence is not responsible for any damages and losses incurred during the shipping process.
How do I look after my Prosthesis?
Always wash your hand before cleaning and use a reputable Rigid Lens/ Contact Lens Surface Cleaner to clean the surface with and a Contact Lens conditioner to insert the Prosthesis into the socket; always rinse well with warm water. We recommend doing this at least twice a week, dependent on wear and use. PLEASE DO NOT use saline solution as this will result in infection for the eye socket. If you have any questions, please contact us.
What sort of aftercare can I expect?
We would love to see you every two years, to see how you are getting on and to ensure the surface quality of the Prosthesis is still without flaws. Your comfort and care is of the utmost importance to us and we will focus on those concerns when we meet again.
Does my Prosthesis change over time?
Your Prosthesis will not change over time but your eye socket and the surrounding soft tissues certainly will. This could mean that adjustments may need to be made for your Prosthesis over time.
What happens if I lose my Ocular Prosthesis?
We will always endeavour to keep your data, within the limits set out within the GDPR, but we may need to see you once again to reassess your requirements. Please do remember each Prosthesis is bespoke and handmade, and will need to undergo the formal manufacturing process again, in order to create a new Prosthesis.
Will the Ocular Prosthesis solve any other eye socket or soft tissues challenges I may have?
The Prosthesis will attempt to serve as a cosmetic replacement for your lost, biological eye. If you have suffered any trauma or injury to the eye socket or surrounding soft tissue, such as a Ptosis or Exophthalmos, the Prosthesis will not solve this issue. Many of our patients have such issues and often seek additional medical advice. We would be more than happy to refer you onwards to the relevant Ocular Plastic Surgeon.
Do you produce Ocular Prosthesis for Children?
We have over three decades of experience working with children of ages, including babies. In fact, many of our younger patients have suffered from retinoblastomas and ophthalmos, and as a result, we have experience working with a wide variety of ocular-health challenges. We will take every step to ensure your child is comfortable throughout the process.
If I do not speak English well, could you help with translation?
In fact, many of our patients do not speak English as a first language and we are comfortable working with translators; should you require the presence of a translator, please contact us. Mr Fatania himself is a gifted linguist and he will make every effort to communicate with you throughout.
If I cannot come to the clinic, can you come to meet me?
Should your requirements be more personal or confidential in nature, then please do get in contact to arrange a consultation and we can determine the place and time.