The Anophthalmic Patient

  • Keith R. Pine
  • Brian H. Sloan
  • Robert J. Jacobs


The biosocial and psychological aspects of eye loss are explored in this chapter in order to better understand the extent of the anophthalmic population globally and what it is like for people who lose an eye and wear an ocular prosthesis. The chapter discusses the epidemiology of eye loss, the perceptual changes that confront people who suddenly lose binocular vision and the psychosocial issues that accompany eye loss – including the special issues that children face when they lose an eye. The concerns of patients who wear prosthetic eyes are discussed in the chapter, and several individual case studies are included to provide personal perspectives about eye loss. Blind people who wear two prosthetic eyes are not dealt with specifically in the chapter, but many of the issues discussed are relevant to them.


Body Image Binocular Vision Perceptual Change Zealand Study Facial Disfigurement 
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  1. 1.
    Pine KR, Sloan B, Jacobs RJ. Biosocial profile of New Zealand prosthetic eye wearers. N Z Med J. 2012;125(1363):29–38.PubMedGoogle Scholar
  2. 2. Available from: = world&type = 28. Accessed 20 Nov 2014.
  3. 3.
    Work-related injury statistics 2002–2010. Available from: Accessed 20 Nov 2014.
  4. 4.
    New Zealand Government. Motor vehicle crashes in New Zealand, 2011. Available from: Accessed 20 Nov 2014.
  5. 5.
    Australian Government. Department of Human Services. Available from: Accessed 20 Nov 2014.
  6. 6.
    Australian Bureau of Statistics. Available from: Accessed 20 Nov 2014.
  7. 7.
    Chang KC, Kwon J-W, Han YK, Wee WR, Lee JH. The epidemiology of prosthetic treatments for corneal opacities in a Korean population. Korean J Ophthalmol. 2010;24(3):148–54.PubMedCentralPubMedCrossRefGoogle Scholar
  8. 8.
    American Academy of Ophthalmology. Eye injuries: recent data and trends in the United States, 2008. Available from: Accessed 20 Nov 2014.
  9. 9.
    Trawnik WR, Fitzimmons TD. Eye loss in the 1990s: a comparative study. J Ophthal Prosthet. 1996;1:7–13.Google Scholar
  10. 10.
    Cabral LGM, Martelli Júnior H, Leite DM, Sabatini Júnior D, de Freitas ABDA, Miranda RT, Swerts MSO, de Barros LM. Biopsychosocial profile of patients with anophthalmia in the south of Minas Gerais – Brazil. Arq Bras Oftalmol. 2008;71(6):855–9.PubMedCrossRefGoogle Scholar
  11. 11.
    Pine KR, Sloan B, Stewart J, Jacobs RJ. Concerns of anophthalmic patients wearing artificial eyes. Clin Experiment Ophthalmol. 2011;39(1):47–52.PubMedGoogle Scholar
  12. 12.
    Medina PA. The power of shadows: shadow stereopsis. J Opt Soc Am A. 1989;6(2):309–11.CrossRefGoogle Scholar
  13. 13.
    Chen WP. Oculoplastic surgery. The essentials. New York/Stuttgart: Thieme; 2001.CrossRefGoogle Scholar
  14. 14.
    Ihrig C, Schaefer DP. Acquired monocular vision rehabilitation program. J Rehabil Res Dev. 2007;44:593–7.PubMedCrossRefGoogle Scholar
  15. 15.
    Nicholas JJ, Heywood CA, Cowey A. Contrast sensitivity in one-eyed subjects. Vision Res. 1996;36(1):175–80.PubMedCrossRefGoogle Scholar
  16. 16.
    Neuro Optometric Rehabilitation Association. Implications of acquired monocular vision (loss of one eye). Available from: Accessed 20 Nov 2014.
  17. 17.
    Slonim MD, Martino MD. Eye was there: a patient’s guide to coping with the loss of an eye (Kindle Locations 299–313). Bloomington: AuthorHouse; 2011. Kindle Edition.Google Scholar
  18. 18.
    Sreedhar K. Disfigurement: psychosocial impact and coping. Open Dermatol J. 2009;3:54–7.CrossRefGoogle Scholar
  19. 19.
    Macgregor FC. Facial disfigurement: problems and management of social interaction and implications for mental health. Aesthetic Plast Surg. 1990;14:249–57.PubMedCrossRefGoogle Scholar
  20. 20.
    Langer E, Fiske S, Taylor S, Chanowitz B. Stigma, staring and discomfort: a novel-stimulus hypothesis. J Exp Soc Psychol. 1976;12:451–63.CrossRefGoogle Scholar
  21. 21.
    Ahn JM, Lee SY, Yoon JS. Health-related quality of life and emotional status of anophthalmic patients in Korea. Am J Ophthalmol. 2010;149:1005–11.PubMedCrossRefGoogle Scholar
  22. 22.
    Atay A, Peker K, Günay Y, Ebrinc S, Karayazgan B, Uysal Ö. Assessment of health-related quality of life in Turkish patients with facial prostheses. Health Qual Life Outcomes. 2013;11:11. doi: 10.1186/1477-7525-11-11.PubMedCentralPubMedCrossRefGoogle Scholar
  23. 23.
    Clarke A. Psychosocial aspects of facial disFig.ment: problems, management, and the role of a lay-led organization. Psychol Health Med. 1999;4:127–42.CrossRefGoogle Scholar
  24. 24.
    Kübler-Ross E. On death and dying. New York: Simon and Schuster; 1969.Google Scholar
  25. 25.
    Goiato MC, Santos DM, Bannwart LC, Moreno A, Pesqueira AA, Haddad MF, Santos EG. Psychosocial impact on anophthalmic patients wearing ocular prosthesis. Int J Oral Maxillofac Surg. 2013;42:113–9. # 2012.PubMedCrossRefGoogle Scholar
  26. 26.
    McBain HB, Ezra DG, Rose GE, Newman SP. The psychological impact of living with an ocular prosthesis. Orbit. 2014;33(1):39–44.PubMedCrossRefGoogle Scholar
  27. 27.
    De Sousa A. Psychological issues in acquired facial trauma. Indian J Plast Surg. 2010;43(2):200–5.PubMedCentralPubMedCrossRefGoogle Scholar
  28. 28.
    Martin RA, Lefcourt HM. Sense of humor as a moderator of the relation between stressors and moods. J Pers Soc Psychol. 1983;45(6):1313–24.CrossRefGoogle Scholar
  29. 29.
    Abel MH. Humor, stress, and coping strategies. Humor. 2008;15(4):365–81.Google Scholar
  30. 30.
    Chang TL, Garrett N, Roumanas E, Beumer 3rd J. Treatment satisfaction with facial prostheses. J Prosthet Dent. 2005;94:275–80.PubMedCrossRefGoogle Scholar
  31. 31.
    Rasmussen ML, Prause JU, Toft PB. Phantom pain after eye amputation. Acta Ophthalmol. 2011;89:10–6.PubMedCrossRefGoogle Scholar
  32. 32.
    Bohman E, Rassmussen ML, Kopp ED. Pain and discomfort in the anophthalmic socket. Curr Opin Ophthalmol. 2014;25:455–60.PubMedCrossRefGoogle Scholar
  33. 33.
    Vinger PF, Parver L, Alfaro 3rd DV. Shatter resistance of spectacle lenses. JAMA. 1997;277:142–4.PubMedCrossRefGoogle Scholar
  34. 34.
    Song JS, Oh J, Baek SH. A survey of satisfaction in anophthalmic patients wearing ocular prosthesis. Graefes Arch Clin Exp Ophthalmol. 2006;244:330–5.PubMedCrossRefGoogle Scholar
  35. 35.
    Rochat P. Five levels of self-awareness as they unfold early in life. Conscious Cogn. 2003;12:717–31.PubMedCrossRefGoogle Scholar
  36. 36.
    Kinder Augen Krebs Stiftung. Available from: Accessed 20 Nov 2014.

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Keith R. Pine
    • 1
  • Brian H. Sloan
    • 2
  • Robert J. Jacobs
    • 1
  1. 1.School of Optometry and Vision ScienceThe University of AucklandAucklandNew Zealand
  2. 2.New Zealand National Eye CentreThe University of AucklandAucklandNew Zealand

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