ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2026
The Impact of Custom Ocular Prosthesis on Self-esteem, Appearance and Quality of Life in Adults: A Prospective Study.
Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess changes in self-esteem, appearance and vision-related quality of life (VRQoL) following custom ocular prosthesis wear and its relationship with demographic characteristics and clinical factors.
methodsThree hundred and twenty-one first-visit adults (≥18 years of age) visiting the ocular prosthesis clinic for a custom ocular prosthesis between 2019 and 2021 completed four questionnaires: the self-esteem rating scale (SERS), facial appearance (FA) of the negative physical self-scale, Impact of Vision Impairment (IVI) scale (measure of VRQoL) and Derriford Appearance scale before and 3-4 months following ocular prosthesis wear. Rasch analysis optimised the measurement properties of questionnaires and generated interval-level estimates of the corresponding latent trait at both time points, anchoring the instruments to their baseline measurement characteristics. Primary outcome measures included changes in self-esteem, FA, VRQoL and social anxiety and avoidance. Correlational analysis determined associations between outcome measures and sociodemographic variables.
resultsMean age was 34.6 years (71% male). The majority were married (49%), working (60%) and had obtained at least secondary school education (77%). Minor modifications in questionnaires enabled adequate fit to the Rasch model. Following prosthesis wear, patients reported significantly large improvements in self-esteem (effect size: 0.88; p < 0.001), FA (0.94; p < 0.001), VRQoL (0.36-0.38; p < 0.001) and social anxiety and avoidance (0.93; p < 0.001). Females reported larger improvements in self-esteem (p = 0.02), while younger age was related to greater levels of social anxiety and avoidance (r = -0.15, p = 0.01). Participants reported a significant reduction in feelings of shame, sadness, preoccupation with hiding the disfigured eye, insecurity, inferiority and anger after ocular prosthesis wear.
conclusionsCustom ocular prosthesis wear is associated with significant large improvements in psychological functioning and VRQoL in adults. Additionally, it reduces social anxiety and avoidance. These findings support early prosthetic rehabilitation as a critical component of holistic anophthalmic care, particularly in younger patients at higher psychosocial risk.
Indexed as
Identifiers
42878999What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.