義眼的最佳裝配時間會因為個人的因素與狀態而有不同
 

眼球摘除者裝配義眼的時機及階段：

常見配戴者手術後，因體質異常，導致預留的義眼腔內肌肉過度增生。若是等到手術後炎症完全消退後才裝義眼，此時義眼腔內瘢痕組織已形成，原可用於裝配義眼之空間縮小，就錯過裝配義眼之最佳時機。甚者義眼裝入兩眼無法對稱、或易脫出。更甚者有需做擴大義眼腔之手術。因此，我們建議患者遵循下面幾個步驟.

  1. 眼科手術前的討論與評估：
    與眼科醫生評估義眼腔的預留空間。手術後應儘快裝入具人體工學設計，能自行調整位置，又能撐起眼瞼又不會觸及傷口之立體義眼片（Conformer）。如此塑造出來之義眼腔，會有較理想的形狀及空間大小。
  2. 術後兩周到一個月內持續配戴立體義眼片（Conformer）：
    配戴者出院後，立體義眼片（Conformer）仍不可取出，應戴到義眼裝配完成。因此段期間內，傷口瘢痕組織尚未形成之時，壓迫眼內腔，防止瘢痕增生。義眼片如果從眼腔脫出，應立即回診。並盡速至本所裝配依個人眼內腔取模定型而配製的專屬活動義眼。
  3. 義眼裝配好三個月後的調整：
    義眼腔這時已較穩定，如有必要可隨義眼腔之變化來本所調整義眼。
  4. 裝配義眼3年後：
    由於義眼腔會不斷變化，建議每三年重新取模，檢修或重製義眼，以維持正常舒適的配戴狀態。義眼本身雖不會磨損，但材質日久仍會老化變黃。且因保養不當，導致義眼腔發炎、萎縮、增生、變形，而造成義眼不適之情況。因此，身心障礙生活輔助器具的補助標準，有最低使用年限為三年之規定。
  5. 其它
    另外， 當有下列狀況發生時，也請您回來拜訪我們： 
    • 眼腔變大 義眼外觀變小
    • 眼腔變小 義眼外觀變大
    • 眼底偏向後方萎縮 義眼外觀移位
    • 義眼與眼腔形狀不合 義眼外觀轉動
    • 眼腔變淺或下眼瞼外翻 / 浮腫 / 發炎 義眼容易脫出

 

 有眼球者裝配義眼的時機及階段：

  1. 配戴者眼病變後眼球存留。無視力、無光覺、但眼壓仍高、有觸覺、眼球微凸出。需請醫師做完眼球減壓手術後，先選取、配戴合適大小之義眼片（Conformer）。待眼球萎縮才能做義眼。
  2. 配戴者眼病變後眼球存留。但眼壓正常、有觸覺、眼外觀不變，或比另一眼略小。眼球雖會感覺有異物進入，亦可先選取、配戴合適大小之義眼片（Conformer）。並用約兩星期或更長時間適應。如果仍然不能適應，也需請醫師先做眼球減壓手術。
  3. 配戴者眼病變後眼球存留。但已無眼壓、無痛覺、眼外觀閉合、眼球萎縮且變白變小。此時已如同眼球摘除者，不需再做處理。此乃配製義眼之最佳狀況，不需再做植球。

 

眼窩凹陷很深，凹陷處無法藉義眼調整，但仍可裝入義眼者，裝配的時機及階段：

眼窩骨明顯凸出，眼腔上部已癒合，義眼無法達到凹陷深處。眼窩部分較不美觀。可先做植皮手術，擴大義眼腔後。義眼才能墊入凹陷深處。 
 
需先做眼科整形手術後才可裝配義眼者，裝配的時機及階段：
眼部外觀因外力扭屈，變形，或眼腔太淺，根本無放置義眼之空間，或下眼瞼外翻義眼容易滑出時：醫師手術前，可請患者先來本所預做蠟製模型。臘模經修整後，即可呈現眼腔實際之形狀及大小，患者可攜回醫師處，以供手術之參考。
 
嬰、幼兒、孩童由於病變（腫瘤、癌症、小眼症、 等。）或細菌感染導至失明者，裝配的時機及階段：

  1. 應儘早裝配義眼。因眼眶沒有義眼支撐與刺激，無法隨身體之成長而增大。等到要做義眼時，兩眼眼眶已固定成形，外觀就變成大小眼了。
  2. 嬰、幼兒、孩童製做義眼時，常會哭鬧，已致無法灌模取形以及修模。可先選取、放入適合大小之義眼片 （conformer）。觀察其開眼大小後於其上用蠟塑成眼形並定出瞳孔正確位置，以此當做義眼之基本模形。再依義眼製做程序製成義眼。先行裝入眼腔，以佔住義眼之有效空間。再隨孩童的成長逐漸調整形狀，或加大。
  3. 待孩童成長到能接受灌模取形及修模時。再配製正式的義眼。

 

The best time to install artificial eye

The best time for artificial eye’s installation will be different from person to person, due to individual’s factors and eye socket condition..
 

For customer with eye ball excised 

After surgery, some customer’s eye socket shrinks or seal up very soon.  Sometimes, it is already too late for them to install artificial eye after all the scar tissue has formed. The healed eye socket will not have enough room reserved for the artificial eye and our customer will require another eye surgery to expand the eye cavity. As a result, we suggest our customer to follow the process as follows. 

  • Phase 1.  Plan to reserve enough eye socket space before eye surgery：
    ​Talk to your eye doctor about your plan for artificial eye after the surgery, ask your eye doctor to assess your eye socket space and reserve enough room for the artificial eye during the surgery. After the surgery, you should directly plant a conformer into the eye socket to hold up the eyelid without touching the wound. The conformer will help to shape out the eye cavity, and make the eye socket more ideal shapes and space for artificial eye installation. 
  • Phase 2.  From two weeks to one month after the surgery：Two weeks ~ one month after the surgery, the conformer still cannot be removed. The conformer will help to oppression within the eye cavity, preventing the scar tissue hyperplasia or formed. The conformer will help to occupy the space for artificial eye.  If the conformer comes off /drop out from the eye socket, please come to us immediately. And we will suggest you to wear artificial eye afterwards.
  • Phase 3.  3 months after the artificial eye installed：Eye wound and socket is more stable during this period. More adjustment on the artificial eye can be done during this period.    
  • Phase 4.  3 years after the artificial eye installed：Due to the change of eye socket, artificial eye remodel or repair is required to maintain appearance and comfortless when wearing. Without proper maintenance, artificial eye well become less comfort and might leads to eye socket atrophy, tissue hyperplasia, or eye cavity deformation.  We strongly suggest our customer to come back to remodel or purchase new product for every 3 years.
  •  Phase 5.  We also suggest our customer come back to us when the following situation occurs：   
    • Eye socket becomes bigger. Artificial eye appearance looks smaller.
    • Eye socket becomes smaller. Artificial eye appearance looks bigger.
    • Bottom of eye socket atrophy. Artificial eye change position.
    • Eye socket deformation. Artificial eye turning in eye socket.
    • Eye socket inflammation or edema. Artificial eye fall out from eye socket.

 

For customer with eye ball still remains in eye socket：

  • Circumstance 1, Eye ball without eyesight and light perception. But with high intraocular pressure, and tactile sense. Or eyeball bulged out：
    Suggest customer to go to their eye doctor for decompress eye surgery. Install our conformer product and wait for the eyeball atrophy to generate enough cavity space for artificial eye. 
  • Circumstance 2, Eye ball without eyesight and light perception. Standard intraocular pressure, and tactile sense：
    Suggest customer to install our conformer product and wait 2 weeks for the eye socket adapt the feeling. If the uncomfortable sense still remains, we suggest our customer to go to their eye doctor for decompress eye surgery. 
  • Circumstance 3, eye ball without intraocular pressure or sense of pain, and tactile sense. Eye ball atrophied and become white in color ：This is the best situation for artificial eye installation.

For customer with eye socket atrophied and subsided：

  • When the eye socket subsided area cannot be fully filled up by artificial eye, we suggest our customer to do plastic surgery for skin-grafting or eye socket enlargement surgery. 

For customer with eye socket deformed：

  • Eye socket appearances deformed due to external forces, which may cause the eye socket become shallow or crooked, and do not have enough space for artificial eye installation. We suggest our customer to come to us and make a wax mold which reflects their real shape of the eye socket. Then, the consumer can bring the wax mold to their eye doctor as a reference before surgery.   

 For consumer in very young age （infant, children） whom lost their eye because of tumor or pathological changes：

  • We suggest our customer’s parents bring them to us at the early stage of their childhood. Without artificial eye to support in customer’s eye socket, the eye socket will remain the same size while their body grows up. This will affect their facial appearance becomes not symmetry when they grow older. 
  • To reduce the uncomforting feeling for infant and children; we will omit the molding process. Conformer will be used as a base of the artificial eye, and we will position the artificial pupil by observation.  Artificial eye production process will then proceed. This impermanent artificial eye will then be installing into the infant or children’s eye socket to occupy the space. We will continue to enlarge the size and shape of the impermanent artificial eye while the infant or children ageing through years. 
  • When the infant or children are older enough to go through the molding process, we suggest our customer to change to permanent artificial eye.