Psychosocial impact on anophthalmic patients wearing ocular prosthesis

• Published in: International journal of oral and maxillofacial surgery Vol. 42; no. 1; pp. 113 - 119
• Main Authors: Goiato, M.C, dos Santos, D.M, Bannwart, L.C, Moreno, A, Pesqueira, A.A, Haddad, M.F, dos Santos, E.G
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Ltd 01.01.2013; Elsevier
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Anger; anophthalmia; Anophthalmos - psychology; Anophthalmos - rehabilitation; artificial eye; Attitude to Health; Biological and medical sciences; Child; Dentistry; Educational Status; Emotions; Employment - psychology; Eye Diseases - psychology; Eye Diseases - rehabilitation; Eye Injuries - psychology; Eye Injuries - rehabilitation; Eye, Artificial - psychology; Fear; Female; Follow-Up Studies; Humans; Income; Interpersonal Relations; Male; Malformations of the eye; Marital Status; maxillofacial prosthesis; Medical sciences; Middle Aged; Ophthalmology; Otorhinolaryngology. Stomatology; Professional-Patient Relations; Quality of Life; Self Concept; Shame; Shyness; Surgery; Young Adult; quality of life; artificial eye; maxillofacial prosthesis; anophthalmia; Human; Prosthesis; Stomatology; Maxillofacial; Congenital disease; Anophthalmos; Quality of life; Eye; Eye disease; Treatment; Malformation; Surgery
• ISSN: 0901-5027; 1399-0020
• DOI: 10.1016/j.ijom.2012.05.028

Abstract The aim of this study was to assess the improvement in psychosocial awareness of anophthalmic patients wearing ocular prostheses and its relationship with demographic characteristics, factors of loss/treatment, social activity, and relationship between professional and patient. Surveys including a form for evaluation of psychosocial pattern were conducted with 40 anophthalmic patients rehabilitated with ocular prosthesis at the Center of Oral Oncology in the authors’ dental school from January 1998 to November 2010. The improvement in psychosocial awareness was assessed by comparing the perception of some feelings reported in the period of eye loss and currently. Wilcoxon tests were applied for comparison of patients’ perception between the periods. χ2 tests were used to assess the relationship between the improvement in psychosocial awareness and the variables of the study. In addition, the logistic regression model measured this relationship with the measure of odds ratio. The feelings of shame, shyness, preoccupation with hiding it, sadness, insecurity and fear were significant for improvement in psychosocial awareness. It was concluded that the anophthalmic patients wearing an ocular prosthesis has significant improvement in psychosocial awareness after rehabilitation.