The ocularist hand crafts eye prosthesis, sees patients and decides upon the needed prosthesis. He provides psychological support and keeps the patient under observation until the final phase of fitting the final prosthesis. The ocularist’s objective is to support, in the most insignificant details, the social integration of patients, victims of the mutilation of the globe of the eye, and of patients who have suffered vision loss (with the conservation of the globe of the eye). The vision loss may be accompanied by a diminished ocular volume or the disgraceful modification of the anterior segment of the eye.
Claude BORNERT is an ocularist with an experience of over 35 years. After a brief training as optician in 1979, he has started getting professional training and specialized in ocular prosthetics.
In 1989 he opened his first individual office in Strasbourg, France. In 2000, his son, Jérôme BORNERT joined his team and became his associate. In 2004, Jérôme BORNERT opened a new office in Nancy.
Our ocularists see patients who have lost an eye through accident, genetic trauma or disease.
Sometimes, surgery is required before fitting an artificial eye. However, if possible, surgery will be avoided through the fabrication of a custom-made prosthesis. The main goal is to hand craft an artificial eye with a natural look, to help patients forget their handicap and to support their social integration.
first intervention: a small conformer is placed behind the eyelids to maintain their shape after surgery.
the conformer is removed and a temporary eye prosthesis is fitted 15 days after the intervention. This prosthesis is a light one and remains shallow inside in order to allow the healing of the eye socket.
an impression of the socket is taken in order to make a second temporary prosthesis.
a final prosthesis is crafted that fits a stable eye socket (5-10 months after surgery)
the prosthesis lasts approximately five years.
the scleral lens is a prosthesis that aims at providing a natural look to the sick eye, may improve vision, reduce pain and eye sensitivity.
a tolerance test is performed with the help of a transparent form before fitting the prosthesis
the temporary prosthesis helps the patient get used to wearing a final Ocular Surface Prosthesis. After a couple of months, a second scleral lens, so-called final, is made. The final scleral lens is crafted making any necessary adjustments to the morphological changes of the eye and eye lid.
a scleral lens helps conserving or stimulating the vision, and has a natural appearance.
Each eye prosthesis is custom-made and unique. Artificial eyes are made in different stages that alternate consultations and crafting sessions in the workshop.
An impression in silicon of the eye socket is taken as well as a photo of the healthy eye.
A first clear plastic shell is made after the impression. The iris is painted using as model the photo of the healthy eye. The iris is painted with natural pigments mixed on a plastic holder.
The second stage consists in the fitting of the clear shell in order to verify its characteristics (volume, alignment, etc.) and the color of the iris. All imperfections that might appear are corrected in another session in the workshop. After all adjustments have been made, the clear shell is used to make a mold. The final prosthesis is hand crafted on this mold.
The iris and the sclera with blood vessels are hand painted on the final prosthesis. The artificial eye is polished for a shining look.
The ocularist fits the eye prosthesis and teaches the patient how to maintain, clean, take the prosthesis out and put it back in.
We have now the possibility to make artificial eyes with a thickness of only 2/10 millimeters. They can be made with optic corrections as well.
See the details of hand crafting the eye prosthesis at the bottom of the page
A consultation with the ocularist every six months is required. The specialist decides if the prosthesis is still fitted or it needs adjustments and the patient’s reaction to the artificial eye.
No daily manipulation of the prosthesis is needed. The patient can use warm water to rinse and softly scrub the prosthesis with his fingers, removing dust, eyelashes, etc. Use a mild soap when necessary.
Take the eye prosthesis in one hand holding it with the focal point upwards. Then, with the other hand lift the upper eyelid and slide now the prosthesis under the upper eye lid. Hold the prosthesis and pull the lower eye lid (with the other hand). The prosthesis is inserted into the eye cavity.
To remove the prosthesis, moisten the suction cup. Apply the suction cup on the prosthesis. With the other hand lift the lower eyelid to release the prosthesis.
Tel . 03 88 44 55 99
- Place de l’hippodrome 67000
- 35 place carrière 54000
- CHU Brabois
- CHU Emile Muller