Phthisis Bulbi: What Now Doctor?

All Ophthalmic Offices have seen them –patients who have one normal eye and one eye that has been disfigured due to trauma, or the result of multiple surgeries or birth defects. Typically, the Ophthalmologist will treat the functional eye but may not realize that the phthisis bulbi can be referred to the Ocularist for a Scleral Shell Prosthesis. The Ophthalmologist may have concerns about the age of the patient or the cost involved with having a Scleral Shell made, especially if the patient is elderly and Social Security is the only means of support.

Good News! In general, most insurance companies recognize the Prosthetic Eye and Scleral Shell as medically necessary and not just cosmetic. Commonly, insurance will provide replacement of the Prosthetic Eye once every 5 years. Insurance will pay for polishes, refits and adjustments as needed once the initial eye is made.

The Scleral Shell is fabricated not only to aid in lid function, eyelash directionality, proper tearing, protection of sensitive cornea but also for aesthetic purposes. Scleral Shells can eliminate corneal abrasion and ulceration resulting from the lids moving over scarred ocular surfaces. The Scleral Shell can be vaulted over the sensitive cornea so that the Shell moves freely in all directions of gaze.

Call our office and ask for more information regarding insurance and Prosthetics benefits.