Rokohl Alexander C, Trester Marc, Mor Joel M, Loreck Niklas, Koch Konrad R, Heindl Ludwig M
Department of Ophthalmology, University of Cologne, Faculty of Medicine and University Hospital Cologne;
Trester-Institute for Ocular Prosthetics and Artificial Eyes.
J Vis Exp. 2019 Oct 31(152). doi: 10.3791/60016.
In Germany, Austria, and Switzerland, over 90% of ocularists still manufacture customized prostheses using cryolite glass from Thuringia. The present manuscript demonstrates this long-forgotten technique in detail. This manuscript shows some major advantages of manufacturing prosthetic eyes using cryolite glass in comparison to poly(methyl methacrylate) (PMMA). These advantages include a lighter weight of the prosthesis, higher levels of patient satisfaction, and only one appointment necessary for the customized manufacturing. Potential risk of breakage seems not to be a critical disadvantage for glass prosthetic eye wearers. However, in some patients, manufacturing a well-fitting prosthetic eye is not possible or reasonable due to anophthalmic socket complications such as post nucleation socket syndrome, scarred fornices, or an orbital implant exposure. This article gives ophthalmologists a better insight into ocularistic care in order to improve the essential interprofessional collaboration between ocularists and ophthalmologists.
在德国、奥地利和瑞士，超过90%的眼科技师仍使用图林根的冰晶石玻璃制作定制义眼。本手稿详细展示了这一被长期遗忘的技术。与聚甲基丙烯酸甲酯（PMMA）相比，本手稿展示了使用冰晶石玻璃制造义眼的一些主要优点。这些优点包括义眼重量更轻、患者满意度更高，以及定制制造仅需一次就诊。对于佩戴玻璃义眼的患者来说，义眼破碎的潜在风险似乎并非关键劣势。然而，在一些患者中，由于无眼球眼窝并发症，如成核后眼窝综合征、瘢痕化穹窿或眼眶植入物外露，制作合适的义眼是不可能的或不合理的。本文让眼科医生更好地了解眼科技师护理，以改善眼科技师与眼科医生之间至关重要的跨专业协作。
