Features and management of an acute allergic response to acrylic ocular prostheses.
To report the occurrence, causes and treatment of an acute allergic response to the acrylic resin used in ocular prostheses.



Retrospective review of presenting history, clinical findings and treatment of two cases.



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.



The residual unpolymerized 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.
Patel
Vikesh
V
CorneoPlastic Unit, Queen Victoria Hospital, East Grinstead, UK.
Allen
David
D
Morley
Ana M S
AM
Malhotra
Raman
R
D000208:Acute Disease; D000368:Aged; D015353:Eye Enucleation; D005137:Eye, Artificial; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology* / Q000628:therapy*; D008297:Male; D020273:Orbital Implants / Q000009:adverse effects*; D011108:Polymers; D019904:Polymethyl Methacrylate / Q000009:adverse effects* / Q000737:chemistry; D012189:Retrospective Studies
D011108:Polymers; D019904:Polymethyl Methacrylate