Enucleated; Eye Clinical Trial
Official title:
Objective Assessment of Orbital Implant and Ocular Prosthesis Motility Using a Digital Imaging
This study will evaluate the degree of translational movement loss from orbital implant to ocular prosthesis. This will be measured using two software applications - Image J as well as the mediGrid smartphone app in measuring prosthesis motility by comparing it to the ruler as a "gold" standard.
The fit and function of an ocular prosthetic determines the effective motility (movement)
within the patient's eye socket. A poor fitting ocular prosthesis will lead to poor motility,
patient discomfort and increased mucus discharge, and can risk the integrity of the anterior
surface of the implanted orbit. Currently the method to determine best fit of the ocular
prosthesis is dependent upon the ocularist's skill in adding or subtracting material from the
wax model that is replicated from an initial alginate impression of the patient's eye socket.
The proposal of this study is to utilise digital imaging to capture images to measure the
motility of both the orbital implant and the ocular prosthesis. Two methods will be compared:
excursion measurements on a photograph using digital software (Image J) versus use of a smart
phone app (an iOS app known as mediGrid (IRISS Medical Technologies, UK; CE Marked, HIPAA
compliant). This study will evaluate the degree of translational movement loss from orbital
implant to ocular prosthesis and analysis will include comparisons between hydroxyapatite and
acrylic implants and in patients without an orbital implant, also known as post-enucleation
socket syndrome (PESS). A part of this study will also evaluate the accuracy of the two
softwares Image J as well as the mediGrid smartphone app in measuring prosthesis motility by
comparing it to the ruler as a "gold" standard.
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