Material and Method: Forty patients wearing unilateral artificial eye for a period of more than 6 months were evaluated. A customized hollow prosthesis is fabricated which was incorporated with a hollow reservoir containing a combination of a tear substitute along with cyclosporine A 0.05% acting as the lubricant. For esthetics, four different procedures were used: oil paints on paper and acrylic, digital photographs and iris from stock eye. Dryness was evaluated with tear test strips both before and after insertion of prosthesis. The esthetics was evaluated with the help of a questionnaire. A self formulated grading system was used to record the scores.

Result: Post insertion of this hollow prosthesis, there was a marked reduction in the dryness and high acceptance esthetically especially with digital photographs.

Conclusion: It was concluded that the Iris fabricated from digital photographs were highly acceptable followed by stock iris.