👁 Painless Blind Eye – Do You Really Need Eye Removal?

👁 Painless Blind Eye – Do You Really Need Eye Removal?

For patients with no vision but no pain, eye removal may not be necessary.
Alternative management options offer aesthetic and psychological benefits.

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✅ When NOT to Remove the Eye

ConditionMeaning

No pain	Not a painful blind eye
Low corneal sensitivity	Less discomfort with prosthesis
Mild or no atrophy	Scleral contour preserved
No intraocular tumor	Safe for external prosthetics

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🧴 Option 1: Scleral Shell

• For corneal opacity + conjunctival injection
• Covers the entire sclera, very thin
• Pre-fit with conformer
• Can be adjusted for comfort

👁 Option 2: Iris Lens

• For corneal opacity without inflammation
• Very thin, lightweight
• Custom-colored to match the other eye
• Only covers the iris zone

 

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✅ Summary

• Consider scleral shell or iris lens for non-painful, mildly atrophic blind eyes
• Over 80% of patients report high satisfaction
• Surgery only needed for progressive atrophy or pain