Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (2023)



Prosthetic contact lenses are contactlenses that use color to mask an eye that is disfigured or to provide treatment for a patient who hassymptoms such as light sensitivity and double vision.

A patient may have ocular disfigurement as a result of multiple surgeries, trauma, or congenital conditions. This may cause one eye to look drastically different than the other eye.

A patient may also have difficulty with light sensitivity and a specially designed prostheticlens canlimit the amount of light into the eye.

Double vision canbe treated with prosthetic lenses when all other treatment has failed. Occlusion (covering up one eye's vision) involves ablack-centered contact lens that is subtle, as opposed to a frosted glasses lens or eye patch.

Prosthetic contactlenses can beas simple as a solid color to an advanced hand-painted iris design to look as much as your natural eye as possible.

(Video) Ocular Surface Disease & Rehabilitation with Scleral Lenses: Fitting & Troubleshooting
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (1)
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (2)

This patient came to us on referral from a well-known glaucoma specialist. They were looking for a solution to their light sensitivity after multiple retinal and glaucoma surgeries left them with a pupil that was unable to constrict. We designed a hand-painted soft contact lens for them that has a black backing and a clear 4.5 mm diameter pupil in the center, greatly improving their light-sensitivity issues.

(Video) Marketing Yourself as A Scleral Lens Practitioner 080421

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (3)
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (4)

This patient came to us looking for a prosthetic lens with a natural look to cover their scarred eye. We were able to color-match the natural color of their eye with this hand-painted soft contact lens and we can hardly tell which is which!

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (5)

We are so excited about this patient’s amazing transformation with a prosthetic scleral lens! He had tried colored prosthetics before but was interested in covering up some of the pigmentation that resulted from scarring on the white part of his eye as well. After going through the process we’ve found the right fit and color match and were able to create a white sclera around the color to cover the discoloration of the white part of the eye.

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (6)
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (7)

Our patient is feeling confident with his new soft prosthetic contact lens. This lens was able to disguise the scarring in his right eye after complications from a childhood surgery. We are so happy with the results!

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (8)
(Video) 2022 Scleral Lens Research Update
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (9)

Here is a patient who suffered from extreme light sensitivity due to trauma to the eye. His pupil does not close anymore and remains open. We discussed all options including painted-colored contact lenses to match his eye color. Because his eyes are relatively dark in everyday lighting, he elected for a traditional custom black lens that would block out light and "re-create" a pupil for him.

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (10)

Our patient suffered from double vision and balance issues after multiple surgical complications. We tried many different remedies, but the only way he found relief was to wear an eye patch over his eye. We designed an occlusion pupil custom prosthetic contact lens for him which he wears to block vision in this eye. This looks better than his eyepatch!

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (11)
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (12)
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (13)
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (14)

Our patient wanted her eye to look "more normal" after multiple surgeries left her with an abnormally shaped pupil, and one eye that looked slightly smaller than the other. To design a custom prosthetic contact lens, we chose the brown color by taking photos and going into different environments to control for lighting differences. We took scans of the eye to determine the best sizing of the lens. We also took measurements to best match iris diameter and pupil size.Our patient is very happy with her appearance with the lens. This lens can last 1 year with proper care.

(Video) High Order Aberrations with Novel Scleral Contact Lens Technologies

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (15)

This patient suffered from double vision from myasthenia gravis. We tried multiple different glasses prescriptions with prism but the doubling fluctuated and was never consistent given the course of the condition. To alleviate this, we designed an occlusion pupil custom prosthetic contact lens for them which they wear to block vision in this eye. They now report their golf game is better than before and they can function once again!

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (16)

This patient had many failed corneal transplants which resulted in them having an artificial cornea called a KPRO (keratoprosthesis). This is an extremely delicate eye. Because the artificial cornea has titanium plates, the eye appears blue. This patient ran a company and felt self conscious meeting with clients without his sunglasses because of the difference in appearance between his brown eye and his "blue-appearing" prosthetic eye.

We designed a simple brown prosthetic lens to be worn over their prosthetic cornea. The two eyes looked the same and the patient said it was the most life changing thing he has done in years due to his increase in confidence.

Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (17)
Prosthetic Contact Lenses | In Focus Specialty Contact Lens & Vision Solutions (18)

This is our patient who had complications after cataract surgery that left their pupil irregular and pulled to one side. Because of this, they had extreme light sensitivity.

Even though this patient's eyes were brown, when you are away from the eye it is so dark it looks almost black.

(Video) Which Cataract Implant Should You Get? | Eye Doctor Explains Intraocular Lenses

We are thankful for this because we were able to usea traditional custom black lens that would block out light and "re-create" the pupil. When looking at the patient from afar you cannot even see that they have this lens on. They are extremely happy and wear it all the time.


Can you see through prosthetic contact lenses? ›

A pupil-occluding prosthetic contact lens has an opaque (black) pupil area and either a clear (Figure 2-E) or pigmented iris (Figures 2-B and 2-D). This type of lens does not provide any vision, but is ideal for patients trying to hide a white pupil, an opaque central corneal opacity, or for vision occlusion.

What is a prosthetic contact lens? ›

Prosthetic contact lenses are special lenses that cover the cornea if the cornea has become opaque or cloudy. The unique lens is designed to blend in with the other eye. A customized and detailed paint-job is required to match the other eye and make the prosthetic eye look as real as possible.

How much is a prosthetic lens? ›

“These lenses tend to cost from $750 to $1,000 per lens. We send the artist a lens and photograph, and a color match is sent back. When the patient approves the color match, the artist paints the final lens. This process can take up to six months,” says Dr.

Can I wear contacts while bleaching my hair? ›

Wear safety goggles if you have them. If you don't, wear glasses or sunglasses. Remove your contact lenses before using these chemicals.

Do you sleep with a prosthetic eye? ›

Sleep with your prosthesis in place unless otherwise advised by your doctor. Place your prosthetic eye into your eye socket using a plunger designed for this purpose. Don't remove the acrylic prosthesis very often. Use lubricating eye drops over your acrylic prosthesis.

Do prosthetic eyes fall out? ›

Artificial eyes sit in the socket behind the eyelids. They should not fall out during normal everyday activities, but occasionally they may become dislodged. A temporary eye may fall out as swelling recedes after surgery, losing the previously snug fit.

How long can you wear a prosthetic eye? ›

How often should I replace my prosthetic eye? The integrity of the materials of a prosthetic eye made at Ocular Prosthetics, Inc. will last for at least ten years. However, most people will need a replacement at approximately 3-5 years due to the settlement of soft tissue in the eye socket.

How long should I wear my prosthetic eye? ›

Maintain your artificial eye regularly

Although having your eye polished every four to six months is really important and helps to promote a healthy socket, you cannot stop there. The best way to ensure you maintain a healthy socket and implant is to have the prosthesis replaced every three to five years.

What are the 3 types of contact lenses? ›

  • Soft Contact Lenses. Soft contact lenses are made of soft, flexible plastics that allow oxygen to pass through to the cornea. ...
  • Rigid Gas Permeable (RGP) Contact Lenses. ...
  • Extended Wear Contact Lenses. ...
  • Disposable (Replacement Schedule) Contact Lenses.
16 Jan 2018

Does insurance pay for a prosthetic eye? ›

Will my health insurance cover a new prosthetic eye? Yes, most insurance companies will pay for a prosthetic eye. For example, Medicare covers 80% of the cost.

Do lens implants hurt? ›

The good news is, cataract surgery is virtually painless. Patients never feel any pain thanks to numbing eye drops. The eye drops numb any feeling in your eyes during the procedure.

Can prosthetic eyes restore vision? ›

The prostheses effectively function as artificial photoreceptors or even as artificial retinas; they use systems of cameras, computers, and electrodes to convert light into electronic signals that can be processed or transmitted by retinal cells. No retinal implant has yet fully restored a patient's sight.

What can you not do while wearing contacts? ›

12 Things You Should Never Ever Do with Your Contacts
  • Sleep While Wearing Lenses. ...
  • Not Keeping The Case Clean. ...
  • Rub Your Eyes. ...
  • Touch Contacts With Dirty Hands. ...
  • Shower While Wearing Lenses. ...
  • Keeping Them On Even When Eyes Itch. ...
  • Exposing The Storage Case To A Dirty Environment. ...
  • Reuse The Solution.

How do you wash your face with contact lenses? ›

The short answer is no. Water and contact lenses are incompatible, meaning they don't and shouldn't go together. This means washing your face, taking a shower, and swimming are all out of the question when you have contact lenses on. The main reason for this is most water is not sterile (germ-free).

How do you clean a prosthetic eye? ›

Cleaning Your Prosthetic Eye
  1. Rinse your prosthetic eye with water.
  2. Wash your prosthetic eye with mild soap or baby shampoo. Do not use alcohol-based cleaning products. ...
  3. Wash all sides of your prosthetic eye.
  4. Rinse your prosthetic eye with water. Make sure to rinse off all the soap.
  5. Let it air dry.
15 Jun 2022

What happens if you don't wear your prosthetic eye? ›

For this reason, you should never take out your artificial eye for a long time! An empty eye socket may cause irritation of the conjunctiva and other complications resulting from a collapse and turning inwards of the lids.

Can you swim with a prosthetic eye? ›

Q: Can I swim in my prosthesis? A. Most people can wear their artificial eye safely while swimming; however, to prevent accidental loss, you should wear swim goggles or remove the prosthesis and store it safely.

Can you drive with one eye? ›

Having vision in just one eye is called monocular vision, and is actually perfectly legal for driving.

Why do prosthetic eyes hurt? ›

Build Up of Dry Mucous on the Eye

Sometimes a gradual build-up off matter can form on the front and back surfaces of the prosthesis. This layer can be very prominent and discolored or very thin and clear. This will make the surface of the eye rough enough to irritate the tissue underneath the eyelids when blinking.

How often should you clean your prosthetic eye? ›

Cleaning the prosthesis every 1-2 months is ideal. More frequent cleaning may irritate or dry out tissue. Gently scrub the prosthesis with fingertips using warm water and rinse thoroughly. Dry with a soft tissue, lightly buffing the surface.

What happens if you wear a prosthetic for too long? ›

Increased skin temperatures of the residual limb, along with sweating, heat rash, blisters, contact dermatitis, abrasions and painful ingrown hairs may occur from the environment within the liners. Skin issues can progress to very dangerous conditions such as infection if not addressed.

How does a prosthetic eye feel? ›

Your new prosthetic eye may feel uncomfortable or tight. You may also have some discharge during use, especially during cold weather. If you work in a place that is dusty, you can expect a bit more discharge than usual.

Which type of contact lenses are best? ›

Rigid gas permeable contact lenses are more durable than soft contact lenses. They're also more breathable, allowing more oxygen to the cornea. These contact lenses must be removed for cleaning and disinfection at night, but some can be worn for a week or even 30 days.

What are the strongest contact lenses you can get? ›

The highest level of corrective power for monthly soft contact lenses is about -12 Dioptres (bear in mind that the average prescription for short sighted people is -2.00 Dioptres), and is available from both Purevision 2HD and Biofinity.

Which brand contact lens is best? ›

In general, the best contact lenses brands in India offer the following :
  • Bausch & Lomb Soflens 59 Contact Lenses.
  • Freshlook One-Day Color Pure Hazel Powerless.
  • Soft Eye Diamond Eye 3 Pair.
  • Bausch & Lomb Optima38 Contact Lens.
  • Clear Contact Lens Monthly Power.
  • Acuvue 1 Day Moist Daily Contact Lens.

How long does a prosthetic eye take to make? ›

Once the contents of the eye are removed, an implant is placed into the scleral shell. The sclera, Tenons, and conjunctiva are then closed over the implant and a temporary (clear plastic) conformer is put in place. The real artificial eye (prosthesis) is made in about 6-8 weeks.

Can your eye reject a lens implant? ›

Can my eye reject the cataract lens implant? No, since the intraocular lens is not made up of human tissue, your body cannot reject it.

How long is recovery time for lens implant? ›

Recovery time is typically one or two days, but every person is unique and your healing experience will depend on the underlying health of your eye and the ease of your surgery.

What are the side effects of lens implant? ›

  • You may lose vision. ...
  • You may develop debilitating visual symptoms. ...
  • You may need additional eye surgery to reposition, replace or remove the phakic lens implant. ...
  • You may be under treated or over treated. ...
  • You may develop increased intraocular pressure. ...
  • Your cornea may become cloudy. ...
  • You may develop a cataract.
8 Jan 2018

Can you regrow eyes? ›

Damage to the retina is the leading cause of blindness in humans, affecting millions of people around the world. Unfortunately, the retina is one of the few tissues we humans can't grow back. Unlike us, other animals such as zebrafish are able to regenerate this tissue that's so crucial to our power of sight.

Why can't you take a shower with contacts? ›

Shower water can cause soft contact lenses to change shape, swell, and even stick to the eye. This is pretty uncomfortable, and can scratch the cornea, which makes it easier for germs to enter the eye and cause infection.

Can you take a shower while having contact lenses? ›

Eye Care Tips for Contact Lens Wearers

Avoid water while wearing contacts. Keep your contacts away from water. Make sure to remove your contacts before showering, bathing, or swimming. Don't rinse or store your contacts in water, and if it does occur, make sure to throw away or disinfect them thoroughly.

Why can't you shower with contact lenses? ›

Exposing your contacts to water can cause them to warp or stick to your eye. This can potentially lead to scratches in your cornea (corneal abrasion). These scratches can sometimes lead to a non-infectious form of keratitis.

Can you open your eyes under water with contacts? ›

You should not open your eyes underwater while wearing your contact lenses. Your contact lenses will not function like goggles—they're porous! Not only are you more likely to lose your lenses this way, but germs and debris from the water can pass through your contact lens and find their way to the eye's surface.

Can I close my eyes while wearing contacts? ›

Here's how it works: Your cornea is one of the only places in your body that doesn't get its much-needed oxygen from blood vessels. It gets it from the air instead. When you wear soft contact lenses, a limited amount of oxygen gets to your eye, which is fine until you close those eyes for prolonged periods of time.

Can you drive with contact lenses? ›

Contact lenses can help with those quick defensive driving reactions. A major benefit of driving in lenses is that your lens prescription is specially fitted to your eye shape and needs to provide better all-around vision than a set of glasses that can block sightlines.

Which is better glasses or contact lenses? ›

1. Wearing glasses reduces the need to touch your eyes, which reduces the likelihood of irritating or infecting your eyes. 2. If you have dry or sensitive eyes, glasses will not aggravate the problem as much as contact lenses can.

Are contacts worse than glasses? ›

Almost all complications are due to poor hygiene and maintenance, but the fact remains that contact lenses do carry more risk than eyeglasses. Oversights in lens care can cause irritation, conjunctivitis, dry eye syndrome, and other uncomfortable eye problems.

How many hours can I wear contact lenses? ›

Most people can safely and comfortably wear contact lenses for 14 to 16 hours per day. It's always best to try to remove them as soon as possible before you go to bed at night to give your eyes a chance to breathe without lenses in.

Can you see with ocular prosthesis? ›

If the entire eye is removed, an ocular implant and prosthesis prevent the eye tissue from growing to fill the empty space in the eye socket. If you were wondering if a prosthetic eye can restore vision, the answer is no. Though it is a replacement to the natural eye, one can't see with a prosthetic eye.

Can you see through mesh contacts? ›

But you can see through Mesh Contacts too, just not perfectly. Most people experience a slight blur in their vision, other people occasionally express that the blur went away after some time and they can see without impairment.

What does looking through mesh contacts look like? ›

Mesh contact lenses cover your iris and pupil with a white grid-like pattern, instantly creating an eerie look by giving the illusion that there is no pupil (a 'whiteout' effect). Fear not if your eyes are naturally quite dark, this will just create more of a grey result than white (but very much still creepy).

Can you feel implantable contact lenses? ›

The lens is implanted behind the iris and in front of the natural eye lens. Once it is implanted, it becomes completely invisible, and you won't even be able to feel it in your eye.

Can you drive with a prosthetic eye? ›

In most cases, there is no reason why a person wearing an prosthetic eye can not learn or continue to drive. In the United States there are no restrictions for monocular drivers obtaining or keeping their non-commercial license.

Can you get DNA off of a contact lens? ›

Contact lenses can also be a source of touch DNA from the fingers through the acts of putting in and taking out the lenses, increasing the possibility of finding DNA from the victim or suspect on them.

Can you feel a lost contact lens? ›

The folded lens might get stuck under your upper eyelid so that it seems to have disappeared. Usually if this happens, you will get the feeling that something is in your eye. Eye doctors call this feeling a foreign body sensation.

Can I open my eyes in the pool with contacts? ›

Swimming with contacts can result in eye infections, irritation, and potential sight-threatening conditions such as a corneal ulcer. 2. The FDA has recommended that contacts not be exposed to ANY type of water, including tap water, swimming pools, oceans, lakes, hot tubs and showers.

How do you know if your contact lens has gone behind your eye? ›

Usually if this happens, you will get the feeling that something is in your eye. Opticians call this feeling a "foreign body sensation." If this occurs, you can usually find the lens by adding a few contact lens rewetting drops to your eye and then gently massaging your eyelid with your eye closed.

How do I know if my contacts went behind my eye? ›

Signs You May Have a Contact Stuck In Your Eye
  1. You're experiencing a burning sensation in one or both of your eyes.
  2. You have red, irritated eyes.
  3. You're experiencing a sharp, scratching pain.
  4. It's difficult to open your eyes without experiencing pain or irritation.

Are you awake during ICL? ›

ICL eye surgery is done with a local anesthetic, eyedrops, to numb the eyes. No shot or injection is required. Yes, while this means that you are awake during the procedure, there is no pain, and patients are very comfortable throughout ICL surgery.


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