The field of ocular prosthetics represents a unique intersection of surgical rehabilitation, prosthetic bioengineering and facial restoration. Historically, the loss of vision or an eye may have been viewed as the ‘end of the road’ from an ophthalmology and optometry perspective. However, this is certainly not the case for patients and their families. There is increasing need for evidence-based approaches that integrate rehabilitation, surgical planning, socket dynamics, prosthetic fabrication and longitudinal care for this complex patient group. This article reviews three recent works that collectively examine national service delivery in New Zealand, the biomechanical interplay between prosthesis and orbit and the under-utilisation of scleral shell prostheses. These studies highlight opportunities for clinical refinement, interdisciplinary collaboration and improved equity of access in prosthetic eyecare.
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