The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Phthisical globe

Photo by Professor Chua Chung Nen

A 29 year-old sustained a rupture right globe in a motor bike accident 2 years ago and despite repair, the globe became severely phthisical with a significant loss of orbital volume. Despite an ocular prosthesis, the right eye appears enophthalmos. She wishes to improve her appearance. Surgery to increase the orbital volume is planned by performing an enucleation and simultaneous orbital implant. The prosthesis also needs to be changed to complement the iris colour of the good eye.

 

Right enophthalmos due to loss of orbital volume. The colour of the ocular prosthesis also

appears lighter than the normal left iris.

 

Loss of right orbital volume as a result of right phthisical globe.

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