BRAMMAR & WALKER OCULARISTS

Artificial Eyes & Cosmetic Shells

COSMETIC SHELLS

A cosmetic shell is worn over your blind or disfigured eye to create a similar effect to that of an artificial eye. We recommend a cosmetic shell for those who may have an eye that has become phthisical (shrunken) due to trauma, a congenital condition or surgery. A cosmetic shell can help to restore natural appearance. 

Please note, if you have recently undergone surgery, a period of time will be required for healing and stabilisation, your surgeon will advise you when you are ready for us to proceed. Below is an indication of what may take place during your appointments.


Cosmetic Shells

First Appointment

An assessment will be made to determine the condition of your phthisical eye and your overall suitability for a cosmetic shell. We will take an impression of your phthisical eye by introducing a cream which sets to a soft, rubbery consistency.

Cosmetic Shells

Second Appointment

A clear trial shell will have been produced, that conforms to the impression taken at the first appointment. You may be required to wear this for a period of time, this is to ensure that you can tolerate a cosmetic shell comfortably.

Cosmetic Shells

Third Appointment

If the trial shell has been worn successfully it is marked to ensure alignment with your other eye. If there are issues with fit or comfort, further modifications to the trial shell may be required, this may entail additional appointments.

Cosmetic Shells

Fourth Appointment

A shell will have been made of white coloured acrylic based upon the successfully worn clear shell and is prepared ready for painting. The cosmetic shell is hand painted in your presence to obtain a colour match to your natural eye.

Cosmetic Shell

Fifth Appointment

Your cosmetic shell will be fitted and we will make any minor adjustments that may be necessary.

We endeavour to provide the best possible outcome for every patient, however there are certain factors beyond our control that may compromise the final result. Such factors may include; corneal/conjunctival sensitivity, scarring, surgery, presence of adhesions, age related anatomical changes and infant compliance.