Features and Management of an Acute Allergic Response to Acrylic Ocular Prostheses

Purpose: To report the occurrence, causes and treatment of an acute allergic response to the acrylic resin used in ocular prostheses. Methods: Retrospective review of presenting history, clinical findings and treatment of two cases. Results: Both patients developed an acute onset hypersensitivity re...

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Bibliographic Details
Published in:Orbit (Amsterdam) 2009-12, Vol.28 (6), p.339-341
Main Authors: Patel, Vikesh, Allen, David, Morley, Ana M. S., FRCOphth, Raman Malhotra
Format: Article
Language:English
Subjects:
Acrylic
Acute Disease
Aged
Allergy
Eye Enucleation
Eye, Artificial
Female
Humans
Hypersensitivity - etiology
Hypersensitivity - therapy
Male
Orbital Implants - adverse effects
Polymers
Polymethyl Methacrylate - adverse effects
Polymethyl Methacrylate - chemistry
Prothesis
Retrospective Studies
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Summary:Purpose: To report the occurrence, causes and treatment of an acute allergic response to the acrylic resin used in ocular prostheses. Methods: Retrospective review of presenting history, clinical findings and treatment of two cases. Results: Both patients developed an acute onset hypersensitivity reaction thought to be due to the acrylic resin found in the ocular prosthesis. The first patient was successfully switched to a glass eye. The prosthesis of the second patient was treated with an extra long curing cycle, after which, the patient was able to tolerate their prosthesis with no complications. Conclusion: The residual unpolymerised monomer that is present within poly-methylmethacrylate (PMMA) can rarely cause an allergic reaction. As an alternative to a glass eye the prosthesis may be subjected to an extended curing cycle converting more of the monomer to polymer.
ISSN:0167-6830
1744-5108
DOI:10.3109/01676830903104660