Cosmetic Reconstruction of Post-Traumatic Anterior Staphyloma by Customized Ocular Prosthesis

Anterior staphyloma is a rare but devastating complication that can arise from untreated or poorly managed corneal trauma, particularly in pediatric patients. This condition frequently results in irreversible visual impairment, significant cosmetic disfigurement, and a compromised ocular surface. We present the compelling case of a 19-year-old female who has endured prolonged blindness in her right eye due to a traumatic corneal perforation incurred in early childhood. An extensive ophthalmological examination revealed the striking presence of anterior staphyloma accompanied by complete corneal degeneration, marking a severe degradation of her ocular health. Considering the severity of her condition, the patient underwent evisceration under general anesthesia. During this intricate procedure, a 14 mm polymethyl methacrylate (PMMA) ocular implant was carefully inserted to provide structural support. Subsequent histopathological assessment confirmed the diagnosis of anterior staphyloma, shedding light on the underlying pathology. The patient's postoperative recovery was remarkably smooth and complication-free. Following this, she was fitted with a custom-made PMMA ocular prosthesis, which significantly enhanced her facial symmetry, restored a degree of ocular motility, and vastly improved her overall appearance. This case highlights the crucial importance of timely surgical intervention and comprehensive prosthetic rehabilitation in effectively addressing the complex challenges posed by post-traumatic ocular deformities.