Friday, July 19, 2013

7.17.13 Eye Check Up

Zachary had an eye check up at Children's today.  Good News is that there is no change in his vision, bad news is that it hasn't improved either.  He will be start the process to receive an eye shield or officially called a Scleral Cover Shell Prosthesis in the coming weeks.   It will fill in the increasing gap in his left eye socket.  We are not sure if the size difference is from atrophy or if his eye just is not growing.  But we feel it is a good idea to go ahead and have him fitted for an eye shield.  It will also assist in the structural development of the eye socket.  We will hopefully be making an appointment in the coming week to get the process started.  His next Children's check up will be in about 4 months.

Here is an idea of what the process may be like, Microphthalmia (small eye) are treated with progressive sized ocular conformers, which help stimulate the muscle and bone of the orbit, promoting orbital and soft tissue growth. Clear ocular conformers are custom made to fill as much of the socket as possible. These conformers are not painted to look like a normal eye because they are changed too frequently. When the conformers are in place the eye socket will look pink or cloudy. Every few weeks a child will progress to a larger size conformer until symmetry is achieved, or about 1-2 years of age. Once a child is wearing a custom prosthetic eye or Scleral Cover Shell Prosthesis , the eye will be enlarged regularly to keep symmetry with the natural eye. The average child will need three to four new painted prostheses before the age of 10. The causes of these conditions may include genetic mutations, abnormal chromosomes or possible environmental factors, but often the cause is unknown. . 

If you are interested in learning more about the Shield, Process  you can check out this site. It is pretty amazing and is an art!
http://www.ericksonlabs.com/v/About_Our_Lab/in_the_media.asp
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