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 with your appointments.  
Below is an indication of what may take place during your appointments. 

First Appointment 

We will make an assessment 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. 

Second Appointment 

We will have produced a clear trial shell that conforms to the impression taken at your first appointment. We will fit your trial shell and you may be required to wear this for a period of time. This is to ensure that you can tolerate a cosmetic shell comfortably. 

Third Appointment 

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

Fourth Appointment 

We will have made a white coloured acrylic shell based upon your successfully worn clear shell which has been prepared ready for painting. We will hand paint the cosmetic shell in your presence to obtain a colour match to your natural eye. 

Fifth Appointment 

We will fit your cosmetic shell and 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. 






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