Navigating specialised eye care can raise many unique clinical, logistical, and aesthetic questions. Below, Mr Kanti Fatania and the Eye Excellence team have compiled clear, detailed answers to help you understand our bespoke prosthetic engineering, specialised lens systems, and clinical workflows in London.
An ocular prosthesis (artificial eye) is designed to fully replace a missing natural eye following surgical removal, such as an enucleation or evisceration procedure. It is shaped to sit comfortably over an orbital implant.
Conversely, a cosmetic scleral shell is an ultra-thin optical cover worn directly over an existing, non-seeing, or discoloured natural eye to gracefully conceal imperfections and restore facial symmetry without surgery.
For a fully bespoke ocular prosthesis or cosmetic shell, the process typically spans 15 to 20 working days to accommodate precise fit, shape, hand-layering of colours, and gloss.
However, for our international patients travelling from Europe, the Middle East, or Africa, we can explore expediting the process on a case-by-case basis.
For adult patients, a premium bespoke prosthesis typically lasts between 5 and 7 years. Over time, while the medical polymer itself remains structurally stable, your underlying orbital tissues and socket geometry will undergo natural, subtle physical shifts.
Children require more frequent replacements to safely keep pace with their natural facial growth.
Always wash your hands thoroughly before handling your prosthesis. Clean the surface using an approved, specialised rigid contact lens cleaner, and rinse meticulously with warm water. Never use regular saline or unapproved chemicals, as they can encourage bacterial growth.
To prevent protein build-up and maintain a glassy, frictionless surface, we recommend a professional clinical polish every 12 to 18 months at our clinic.
A masterfully fitted prosthesis should feel lightweight, comfortable, and entirely natural after a brief initial adaptation period. It should allow your eyelids to blink completely normally and support natural tear distribution.
If you experience persistent irritation, physical pressure, or unusual discharge, it is an indication that the device requires professional modification or polishing.