John Sharify with King 5 News followed a patient of ours through the whole process of having their eye removed due to pain and being fit with their new ocular prosthesis. This story aired on November 18th, if you missed it, check it out here: Artful Eye Surgery.
Anxiety Related to Ocular Prosthetics, Eye Loss, or Vision Loss
September 1st, 2011
Allison Fine, MSW
Private Practice Counselor
www.BalanceMaintains.com
In April, we heard an excellent lecture at our semi-annual meeting of the American Society of Ocularists about psychological coping techniques for our patients with ocular prosthetics and vision loss. Allison Fine, MSW is a medical social worker and counselor who works with individuals, couples and groups in the Seattle area. She provides compassionate support through her private practice for those dealing with chronic illness, grief and loss, depression, anxiety, and end of life issues. Below is a synopsis of how patients can be affected by anxiety and how they can cope with it as well!
Emotional and Physical Symptoms of Anxiety
- Feelings of Apprehension, Fear, or Dread
- Trouble Concentrating
- Feeling Tense or Jumpy
- Anticipating the Worst
- Irritability
- Restlessness
- Watching for Signs of Danger
- Pounding Heart
- Sweating
- Shortness of Breath
- Fatigue
- Insomnia
- Muscle Tension, Tremors, or Twitches
- *If you are experiencing any or all of these, you may be experiencing anxiety.
Common thoughts and feeling related to ocular prosthesis/eye loss/vision loss and anxiety:
- I feel worried about receiving my ocular prosthesis.
- I am concerned about being able to take care of my prosthesis.
- What if people see me differently with my prosthesis?
- What if I see myself differently with my prosthesis?
- What if my vision in my working eye worsens?
- What if I lose my other eye?
- I’m afraid to leave my house/neighborhood.
Coping Strategies
- Eat Well
- Sleep Well
- Exercise
- See medical professionals regularly for check-ups and medical concerns
- Take medications/supplements regularly
- Spend time with partners, family and friends
- Participate in hobbies/activities you enjoy or try something new
- Practice positive thinking
- Make time each day for relaxation and fun
- Meditate/practice breathing exercises
- Seek the support of a counselor
- Join a support group
Artificial Eye Silicone Lubricants
May 18th, 2011The lubricants listed below all work to increase the tear film that coats the surface of your prosthetic eye or scleral shell providing more comfort, easier blinking, and a more natural appearance. These lubricants are developed specifically for artificial eyes.
The higher the viscosity, the thicker and longer lasting the lubricant. While this would indicate the highest viscosity lubricant as the best choice, there are a few more factors to consider. The purpose of a lubricant with an ocular prosthesis is to decrease the friction between the eyelids and the prosthetic surface. The best way to decrease friction is to have a smooth prosthetic surface and a good tear film.
The higher viscosity silicone lubricants will boost the outer tear film layer, reducing the evaporation of tears. The soothing drops and lower viscosity lubricants will help boost the aqueous layer of the tear film. In cases where tear production is limited, it may be helpful to use both a lubricant and a soothing drop to replenish the tear film.
Conditions that deplete tear film and indicate the use of a lubricant:
- Air Conditioning,
- Wind,
- Dry heat,
- Frigid cold,
- Smoke,
- Dust, and
- Long duration of computer/television use.













Over the last couple of months, a crew from our local King 5 News has been following a patient through the process of having her eye removed and getting fit with her new ocular prosthesis. Reporter John Sharify and videographer Doug Burgess from King 5 have been following Arlene Arcely for the last 3 months through this process. 

1. Increases Energy












