Conformer-Guided Custom Ocular Prosthesis Fabrication for Children with Traumatic Eye Loss: A Case Series

Traumatic eye injuries in children can lead to enucleation or evisceration, resulting in functional loss and significant psychosocial impact. Early prosthetic rehabilitation is critical to maintain orbital volume, support facial growth, and enhance esthetics. This case series presents two pediatric patients, aged 3 and 7 years, who sustained ocular trauma leading to evisceration and subsequent orbital implant placement. A conformer-guided impression technique was employed to fabricate custom ocular prostheses, improving child comfort, reducing chairside time, and ensuring accurate capture of socket anatomy. Prefabricated iris buttons were shade-matched and positioned for natural esthetics. The prostheses were inserted, polished, and instructions were provided for care and maintenance. Continuous follow-up over 1.5 years demonstrated stable socket anatomy, excellent esthetic outcomes, and high parental satisfaction, highlighting the effectiveness of a conformer-guided approach in pediatric ocular prosthetic rehabilitation.