CLINICAL CRITERIA FOR SELECTING A REHABILITATION METHOD IN CHILDREN AND ADOLESCENTS WITH UNILATERAL POST-TRAUMATIC OCULAR SUBATROPHY
Keywords:
children, adolescents, ocular trauma, post-traumatic ocular subatrophy, rehabilitation, globe-preserving management, scleral shell prosthesis, ocular prosthesis, cosmetic contact lens.Abstract
Post-traumatic ocular subatrophy in children and adolescents requires an individualized approach to rehabilitation. The choice of rehabilitation method depends primarily on the condition of the injured eye, including the presence of pain and inflammation, the degree of globe deformity, the condition of the cornea and conjunctiva, eyelid position, and tolerance of prosthetic rehabilitation. In a stable, painless eye without active inflammation, globe-preserving options such as a cosmetic contact lens or scleral shell prosthesis may be preferred. Persistent pain, recurrent inflammation, and marked deformity require reconsideration of the initial management strategy. In children, long-term follow-up is particularly important, with timely adjustment or replacement of the prosthesis as the orbit grows.
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