Extractions: (include unspecified) nr N.A. Anotia nr N.A. Microtia nr N.A. Transposition of great vessels nr N.A. Tetralogy of Fallot nr N.A. Hypoplastic left heart syndrome nr N.A. Coarctation of aorta nr N.A. Choanal atresia, bilateral nr N.A. Cleft palate without cleft lip nr N.A. Cleft lip with or without cleft palate nr N.A.
Primary Embryonic Stage When the congenital anomaly is the absence of an eye and/or partially formed eyelids it is far more complex to manage, because the bony orbital wall and facial http://www.jahrling.com/ViMirror/Result/Case1-1.htm
Extractions: When the congenital anomaly is the absence of an eye and/or partially formed eyelids it is far more complex to manage, because the bony orbital wall and facial features never completely developed. Our method of non-surgical augmentation of the orbital area and the eyelid aperture (with pressure stem conformers) is an accepted standard of treatment, and is practiced by other Board Certified Ocularists and members of the American Society of Ocularists. Because of the number of laboratory fitting sessions and the length of time it takes before the first ocular prosthesis is fitted, it is recommended parents seek this service from an ocularist close to their home. This first case presents bilateral narrow bony orbital walls with micro-eyelids that were slit-like, firm and taut, with entropion (inversion) of the lower eyelids and lashes. When the eyelids are separated there is no eyeball present and the socket is funnel shaped lacking definition of culs-de-sac or fornices (internal eyelid formation). This is the earliest of prenatal stage aberrations. The cavity will neither retain nor self-support any type of prosthetic device without first applying (long-term) external force to the orbital void with empirically fitting a series of incremental sized and shaped pressure stem conformers. The object its to gradually expand the eyelid aperture while trying to create fornices (the under part of the eyelid). The projected time span before an ocular prosthesis can be retained is usually 1 to 3 years.
