国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
10期
1904-1905
,共2页
眼内容物剜除%羟基磷灰石%义眼台植入术
眼內容物剜除%羥基燐灰石%義眼檯植入術
안내용물완제%간기린회석%의안태식입술
evisceration of the eye%hydroxyapatite%artificial globe implantation
目的：评价改良巩膜壳内羟基磷灰石义眼台植入术的临床效果。<br> 方法：对34例患者施行眼内容物剜除后,自体巩膜壳前后均瓣状成形并后巩膜开窗,一期植入羟基磷灰石义眼台,术后观察结膜伤口愈合情况、义眼台活动度及并发症的出现情况。<br> 结果：随访观察6~12mo,未发现义眼台暴露、巩膜溶解、结膜伤口裂开、结膜囊缩窄病例。安装义眼片后,活动度良好,眼球内外侧转动可达10o~15o,睑裂双侧等大,外观双眼基本对称,眼窝饱满。<br> 结论：改良巩膜壳内羟基磷灰石义眼台植入术基本保持了眶内组织的正常解剖关系,术后眼窝饱满度、义眼台活动度良好,手术操作简单易行。通过观察随访,并发症少,临床效果满意。
目的：評價改良鞏膜殼內羥基燐灰石義眼檯植入術的臨床效果。<br> 方法：對34例患者施行眼內容物剜除後,自體鞏膜殼前後均瓣狀成形併後鞏膜開窗,一期植入羥基燐灰石義眼檯,術後觀察結膜傷口愈閤情況、義眼檯活動度及併髮癥的齣現情況。<br> 結果：隨訪觀察6~12mo,未髮現義眼檯暴露、鞏膜溶解、結膜傷口裂開、結膜囊縮窄病例。安裝義眼片後,活動度良好,眼毬內外側轉動可達10o~15o,瞼裂雙側等大,外觀雙眼基本對稱,眼窩飽滿。<br> 結論：改良鞏膜殼內羥基燐灰石義眼檯植入術基本保持瞭眶內組織的正常解剖關繫,術後眼窩飽滿度、義眼檯活動度良好,手術操作簡單易行。通過觀察隨訪,併髮癥少,臨床效果滿意。
목적：평개개량공막각내간기린회석의안태식입술적림상효과。<br> 방법：대34례환자시행안내용물완제후,자체공막각전후균판상성형병후공막개창,일기식입간기린회석의안태,술후관찰결막상구유합정황、의안태활동도급병발증적출현정황。<br> 결과：수방관찰6~12mo,미발현의안태폭로、공막용해、결막상구렬개、결막낭축착병례。안장의안편후,활동도량호,안구내외측전동가체10o~15o,검렬쌍측등대,외관쌍안기본대칭,안와포만。<br> 결론：개량공막각내간기린회석의안태식입술기본보지료광내조직적정상해부관계,술후안와포만도、의안태활동도량호,수술조작간단역행。통과관찰수방,병발증소,림상효과만의。
AIM: To evaluate the clinical effects of modified hydroxyapatite implant in scleral shell. <br> METHODS: Thirty - four cases were performed eye evisceration, autogenous sclera shell anterior and posterior petaloid shape with posterior sclera fenestration, hydroxyapatite artificial eyeballs were implanted at stage I, and conjunctival wound, orbital activity and other complications were observed after surgery. <br> RESULTS:The follow-up was 6 ~12mo. There was no patients with implant exposure, sclera dissolution, conjunctival wound dehiscence, conjunctival sac constriction noted. All the patients got good activity of artificial globe, and the active range of side motion of the HA was 10o ~15o. The artificial eyes looked symmetrical, and the eyes socket were full. <br> CONCLUSION: The modified hydroxyapatite implant in scleral shell can maintain the normal anatomy of the orbital tissue, and also can get full eyes socket and good activity, It was an easy and simple surgery which could obtain satisfactory clinical effect and less complications.
