羟基磷灰石微粒在眼内容摘除术中的应用  

Use of hydroxyapatite particle in ocular evisceration.

作　　者：侯习武[1] 雷方[1] 刘德成[2] 

机构地区：[1]郑州大学第四附属医院眼科,河南郑州450044 [2]郑州市第七人民医院眼科,河南郑州450006

出　　处：《眼外伤职业眼病杂志》2005年第10期753-754,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的观察羟基磷灰石微粒在眼内容摘除术中应用的手术方法和临床效果.方法对52例(52眼)严重眼球裂伤、绝对期青光眼以及眼球萎缩患者行眼内容摘除联合巩膜腔内植入羟基磷灰石微粒术.结果术后早期患眼多有不同程度的眼睑及结膜水肿,大多于术后5～7天明显减轻或消退.未见羟基磷灰石微粒暴露、脱出、感染或排异反应发生.配戴仿真义眼片后患眼外形满意.结论对严重眼球裂伤、绝对期青光眼以及眼球萎缩患者采取眼内容摘除联合巩膜腔内羟基磷灰石微粒植入术,效果良好.Objective To observe the use of hydroxyapatite particle in patients of ocular evisceration and its effect. Methods 52 cases （52 eyes） of severe ocular rupture, absolute glaucoma, and atrophic eyes were performed evisceration and hydroxyapatite particles were implanted in to scleral socket. Results In most cases, there were palpebral and conjunctival edema in the early time after surgery but subsided or disappeared 5-7 days later. No hydroxyapatite particles exposure, extrusion, infection or injection took place and good cosmetic effect were got after artificial eyes were used. Conclusions To patients of severe ocular rupture, absolute glaucoma, or atrophic eyes, ocular evisceration with hydroxyapatite particles implantation is an simple method and has good resuhs.

关 键 词：眼内容摘除 羟基磷灰石 义眼 

分 类 号：R779.64[医药卫生—眼科]