Novel approach in iris shade matching: mobile photography and custom ocular shade guide

Introduction: Custom ocular prosthesis have several advantages such as even distribution of pressure on the eye socket, highly esthetic iris, better comfort and eyelid movements, but this prosthesis requires a long fabrication time. The fabrication step that spent time the most is the iris shade matching. Case: A 19 years-old woman with a defect in her left eye reported to Dental Hospital Universitas Sumatera Utara. The patient revealed history of infection of the left eye due to measles leading to surgical enucleation when she was one year old. Clinical examination shows healthy conjuctiva with no sign of infection or inflammation covering the posterior wall of the anopthalmic socket. Management: The iris shade matching was done using mobile photography and custom ocular shade guide, allowing the fabrication of iris button in the same day with shade matching appointment. The mobile photography eliminated the need for the operator painting skill and save the fabrication time significantly. The custom occular shade guide compensated the color biased during the photo taking procedure. Conclusion: The novel approach using mobile photography and custom ocular shade guide simplified the iris shade matching, provide highly esthetic results, eliminate the needs for operator painting skills, and save a significant amount of time in fabrication.