It is very rare that we come upon an insurance company these days who believes that artificial eyes or scleral shells are cosmetic. The medical necessity for wearing an artificial eye or a scleral shell is to bring about the natural functions of the eye socket. These include proper drainage of tears, creation of tears, protection of the mucosal tissue from drying out and contracting, protection from infection and bringing the phthsical globe or anophthalmic socket back to full size. These reasons alone are enough to provide medical necessity, yet there are of course other benefits to wearing an artificial eye or scleral shell. If you have difficulty with your insurance company considering this a cosmetic procedure, please contact your ocularist for assistance.

Tags: cosmetic, insurance, myths

This entry was posted on Saturday, December 19th, 2009 at 3:46 pm and is filed under Artificial Eyes, Prosthetic Eyes, Scleral Shells. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.