Purpose: Custom-made ocular prosthesis, compared to stock prosthesis, provides better fit to the eye socket, better cosmetic results,
and less discomfort to the patient. A custom-made ocular prosthesis fabrication has been done for a child patient with ocular defect
in right eye. Case report: For a child patient of 12 years with anopthalmic right eye, preliminary impression was made using putty
consistency addition polysilicone. A custom tray was fabricated from the moulds obtained from preliminary impression. A final
impression was made using light body addition silicone from which then master model was obtained. Iris positioning done using
Graph-grid method and the wax trial was done. Processing was done using acrylic resin to match patient’s contralateral eye shade
and esthetics. Conclusion: Custom-made prosthesis allows better esthetic and functional results to the patient in comparison to
stock prosthesis. Further follow-up is necessary to check condition and fit of the ocular prosthesis in patients.
Keywords: Ocular Defect, Custom-Made Ocular Prosthesis, Case Report, Graph-grid, addition polysilicone