CAJ | 학술논문

目的：评价羟基磷灰石眼座植入后钻孔手术的疗效。方法：146例HA植入6个月后行钻孔手术。用弧形视野计测量术前、术后义眼的活动度。结果：义眼的活动幅度从术前的18.7±3.8度提高到42.3±3.7度。随访1～40个月无继发感染等并发症。结论：钻孔手术放置栓钉后不仅义眼的活动幅度增加，而且大大提高其活动灵敏度，改善患者外观。
목적：평개간기린회석안좌식입후찬공수술적료효。방법：146례HA식입6개월후행찬공수술。용호형시야계측량술전、술후의안적활동도。결과：의안적활동폭도종술전적18.7±3.8도제고도42.3±3.7도。수방1～40개월무계발감염등병발증。결론：찬공수술방치전정후불부의안적활동폭도증가，이차대대제고기활동령민도，개선환자외관。
Objective：To evaluate the clinical effects of drilling theorbital hydroxyapatite（HA） implant and inserting a motility peg at a seeondary stage operation．Methods：6 months after HA implantation，the implants in 146 consecutive patients were drilled and a motility peg inserted．Before and after drilling，the degrees of movements of the ocular prosthesis were measured with a Goldman visual field analyser．Results：There was no secondary infection occurring during the 1 to 40 month followup period．Motility of ocular prosthesis increased from 18．7±3．8 degree preoperatively to 42．3±3．7 degree postoperatively．Conclusion：Drilling and inserting a motility peg into the HA implant at a secondary operation improve the motility of the ocular prosthesis greatly with low rate of complication．