Four to six weeks after enucleation or evisceration surgery. The ocularist may insert a temporary prosthesis or begin fabricating a custom-made prosthesis.
When the prosthesis is misaligned. The ocularist may adjust the gaze by adding or removing plastic from the prosthesis.
When you see scratches or deposits on the prosthesis, or if you have excessive discharge. The ocularist may machine polish the prosthesis to restore comfort.
When your prosthesis appears sunken or your upper eyelid droops. The ocularist may enlarge the prosthesis to obtain symmetry.
When your prosthesis is older than five years, or when you are experiencing excessive discharge, slippage, or general discomfort. The prosthesis may need replacement. (Plastic prosthetic eyes have a life of three to five years for adults and two to three years for children.)
When you are unclear about the care of your prosthesis. The ocularist will determine your individual daily hygiene.
The ocular prosthesis must be polished regularly to restore the acrylic finish and maintain the health of the surrounding socket tissue. If you remove the prosthesis regularly, polishing once a year is recommended. If you cannot or do not remove the prosthesis, you should have it polished twice a year.
Socket growth in children requires regular enlargement of the prosthesis to maintain symmetry and enhance socket expansion. Children younger than three years should visit the ocularist three or four times a year to monitor socket growth. Children older than three, but not fully grown, should visit twice a year.