J Korean Ophthalmol Soc.  2008 Jul;49(7):1041-1045. 10.3341/jkos.2008.49.7.1041.

Clinical Analysis of Fitting a Scleral Shell over Phthisis Bulbi or Discolored Blind Eyes

  • 1Department of Ophthalmology, College of Medicine, Inje University, Pusan, Korea. jwsyhyo@yahoo.co.kr


PURPOSE: To show that scleral shells can be good cosmetic prostheses for phthisis bulbi or discolored blind eyes for which no evisceration or enucleation is indicated.
Twenty patients with phthisis bulbi or discolored blind eyes were enrolled in this study. All patients were using scleral shells. We evaluated any complications induced by the scleral shells and the cosmetic results during the follow-up period.
The average central thickness of the scleral shell was 1.84+/-0.26 mm, and the average volume was 1.52+/-0.25 ml. The average difference in palpebral fissure width between the fellow eye and the eye with a fitted scleral shell was 0.8+/-0.62 mm. One patient complained about ocular irritation and difficulty in fitting but was satisfied with the cosmetic appearance.
Fitting scleral cover shells over phthisis bulbi or discolored blind eyes without evisceration or enucleation could be a successful remedy for enhancing cosmetic appearance.


Discolored blind eye; Phthisis bulbi; Scleral shell

MeSH Terms

Follow-Up Studies
Prostheses and Implants


  • Figure 1. Measuring the central thickness of the scleral shell using micrometer (Mitutoyo, Japan).

  • Figure 2. Measuring the volume of the scleral shell using a 50 ml single-use syringe.

  • Figure 3. The Scleral Shell Prosthesis: a thin hard acrylic shell-like artificial eye.

  • Figure 4. Photographs of a patient with phthisis bulbi. (A) Before wearing a scleral shell, he complained about ptosis and exotropia. (B) After wearing a scleral shell, he was satisfied with cosmetic appearance.



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