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DIGITAL GRAND ROUNDS
The Problematic Implant
Edited by Walt Mayo, O.D. A 45-year-old black male presents with complaints that his artificial eye was very irritating. Fitted following an auto accident, the artificial eye had not
given him any trouble until the past few months. The right eye was unaffected from the accident and had good vision according to the patient. No other significant ocular or medical history was reported.
How would you approach this case? Read on for further details about the visit. Then
The left side revealed a very irritated eye
socket as you can see in the accompanying photograph. I noted injection, but no discharge. The prosthesis was implanted about four years earlier. The patient had good ocular mobility bilaterally with the implant in place.
What is your diagnosis? How would you manage this patient? Are there any additional tests that you would like to perform? For answers, follow the instructions in the box below. Dr. Mayo, a private practitioner in Georgetown, S.C., is technology director for the
Southern Council of Optometrists. You may contact him at
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The patient's right eye was normal upon entrance acuities (20/25) and external exam.
Extraocular motilities were full. The right pupil was normal and anterior chamber deep and clear. The lens was normal, as was the fundus on dilated examination.