When patients come to Eye Match Artificial Eye Centre, one of the most common points of confusion is: "Do I need a scleral shell or a full artificial eye?" The answer depends entirely on the condition of your eye socket. This guide explains both options clearly.
The Core Difference — One Simple Rule
Simply put: If your eye has been removed — you need a full artificial eye (ocular prosthesis). If your eye is still present in the socket but is blind, disfigured or shrunken — a scleral shell may be appropriate.
What is a Full Artificial Eye (Ocular Prosthesis)?
A full ocular prosthesis is a custom-crafted device that fills the eye socket after the eyeball has been surgically removed. It is designed to:
- Replicate the complete appearance of a natural eye
- Fill the socket volume and properly support the eyelids
- Move naturally using the remaining muscles and orbital implant
- Protect the socket from dust, debris and contraction
Who needs it: Patients after enucleation or evisceration surgery, or those born without an eye (anophthalmia).
What is a Scleral Shell?
A scleral shell is an ultra-thin, curved prosthetic device made from the same acrylic material as a full prosthesis. It fits directly over an existing eye that remains in the socket. Think of it as a rigid contact lens that sits on top of the eye.
- Requires NO surgery
- Fits over the existing eye that is still present
- Completely conceals disfigurement
- Thinner and lighter than a full prosthesis
- Custom-made and individually colour-matched
Who needs it: Patients with phthisis bulbi (shrunken non-functioning eye), corneal opacification or scarring, leukocoria, or any blind eye still present in the socket.
Side-by-Side Comparison
- Eye still in socket? — Shell: Yes | Full Prosthesis: No (removed)
- Surgery required? — Shell: None | Prosthesis: Prior eye removal surgery
- Thickness: — Shell: 1–2mm ultra-thin | Prosthesis: Full socket volume
- Appearance: — Both: Virtually identical to natural eye when properly matched
- Durability: — Both: 5–7 years typically
- Cost: — Shell: Generally lower | Prosthesis: Varies by type
Which One Do I Need?
The best way to determine which option is right for you is a consultation with our specialist at Eye Match Artificial Eye Centre. We will examine your socket and existing eye condition and advise you on the most suitable, cost-effective solution. Some patients may benefit from prosthetic contact lenses instead.
Can I Switch from a Shell to a Full Prosthesis Later?
Yes. If your eye condition changes — for example, if a shrunken blind eye becomes painful and needs surgical removal — you would transition from a scleral shell to a full prosthesis. We handle this transition smoothly, ensuring you always have the best cosmetic solution for your current anatomy.
Contact Eye Match Centre at +91 92161 67701 to discuss which option is right for your specific situation. Consultation is free and without obligation.