Hi and welcome.
I'm sorry for what your husband is going through. He is lucky to have you for support.
I think I can relate to his situation. This past December, ( wow 3 months already!) I had my left eye ,all of the tissue in the socket , both upper and lower lids and some of the bone near my nose removed because of skin cancer. It has been an adjustment, but not as bad as I thought. This group helps a lot. So does talking to a professional. It helped me anyway.
Unlike some of the other types of prosthetics, I didn't have anything put in the socket shortly after the removal to stop shrinkage. I don't think shrinkage matters when all of the tissue and the eye lids are gone. I think this is why the the other types of prosthetics are not an option for me - nothing to hold the eye fake eye ball in place. Instead, I have to wait until the skin grows back inside my socket completely before they can start the process. I'm about 3/4 of the way there. Even with all of the tissue gone, my doc said I would be a candidate for an anaplastic prosthesis. Perhaps this may be an option for your husband too. It never hurts to do research and ask for a second opinion.
In case you want an idea of what post-op will be like when everything is removed, here is a quick run down of my post-op experience so far:
Week 1 - Really tight pressure bandage wrapped around my head. I had some pain, but pain meds helped a lot. I spent most of the week asleep. I recommend sleeping sitting up for the first few weeks, it helps alleviate swelling. The left side of my face, part of my forehead and part of my lip were totally numb because of the nerves they had to cut during reconstruction. Doctor said it could take up to 6 months for all of the feeling to return. Some swelling and bruising, Also had to eat very soft food because of numbness in my mouth.
Week 2 - Week 10 -After the pressure bandage was removed, the doctor required me to pack the orbit with a special medical packing material called xeroform. It keeps the area sterile and moist to promote the growth of new skin. I also had to keep it covered with a stick on eye patch. Every two days I had to change the dressing. First, removing the old stuff, then rinsing out the socket with a sterile saline solution using a plastic syringe. Doctor had us go to a cooking store and buy a syringe for basting ! He said those work the best. At first my husband did this whole process for me. I could not look at it. I talk about this in another post. Forehead and nose still pretty numb, but around week 8 feeling in my teeth returned. Yea! I could eat crunchy food again!!!!!
Week 11- Doctor said to stop using the xeroform because there is now enough new skin. Still rinsing the socket with saline each night and using a q-tip to put antibiotic ointment all over. Now covering socket with non stick dressing in addition to the stick on patch.
Week twelve- This week! - Skin is still growing back and the socket hole is about half the size it was compare to week 1. All of the nerves around my face are growing back and its feels itchy and tingly. (very annoying but not painful). Still wearing a stick on flesh colored eye patch. I prefer this "medical looking" patch to the other type of patch. As others have said, when it comes to wearing a patch, its all about personal preference. I'm also going shopping for new glasses this week to better protect the socket and my good eye.
This summer, I should be able to start the next phase of getting a prosthesis. Although I wont be able to have the cool type of prosthesis that moves and looks very close to a real eye, my doctor did say I would be able to have something that would restore some normalcy to my face. It is called an anaplastic prosthesis. It is made with silicone and fits into the socket ( with glue I think). It kind of reminds me of something you might see in the the props department of a movie set! I'm not sure if others on this site have anything like this. When I get more info from my doctor, I'll post a topic about it. Here is an example.
http://www.anaplastics.com/Orbital-Eyes.html Just to be clear, I do not know anything about this specific company. I'm just using it as an example of the possibilities that are out there. Its definitely not a perfect solution, but to me its better than nothing. As fairie16 said so well in her post, there are options out there and although they wont fix the problem, they will help the transition.
So, so sorry this post was so long, but I hope it helps. Wishing you both the best.
