眼眶发育异常的影响因素及相关治疗  

Factors affecting orbital abnormal development and its relevant treatments

作　　者：秦毅[1] 李冬梅[1] 

机构地区：[1]首都医科大学北京同仁眼科中心,100730

出　　处：《中华眼科杂志》2007年第12期1144-1148,共5页Chinese Journal of Ophthalmology

摘　　要：眼眶发育与眼球的发育直接相关，发育期各种原因引起的眼球发育迟滞及眼球缺如都会导致眼眶发育延迟，从而影响颅面骨的发育，最终导致患者面部畸形。因此在积极治疗患眼的同时，如何能兼顾患儿的眼眶发育，一直以来都是眼科学界研究的难点。传统的治疗包括不断增大的义眼片放置、固定大小的义眼台植入、真皮脂肪片移植和气球样注水扩张器包埋，这些治疗均难以取得满意的效果。近来，组织渗透压依赖性自行膨胀扩张器的出现，为患者和医师提供了新的选择。全文就眼球异常等对眼眶发育的影响，以及促进眼眶发育的各种方法和最新进展作一综述。Orbital development is associated with the growth of the eyeball. During the development period, congenital or acquired changes of volume of the eyes and radiation treatment in ocular region influence the development of the orbit. Abnormal development of the orbit influences craniomaxillofacial growth and person＇s overall aesthetics of the face afterwards. Reconstruction of contracted sockets and shrunken orbits poses significant difficulties and obstacles that often results in universal frustration and disappointment results. Various methods have been used to improve these abnormalities. There are substantial different opinions regarding which method offers the best outcome. Traditional methods involve using progressively enlarging conformers, static spherical orbital implants, demis-fat grafts, and inflatable balloon expanders for orbital enlargement. Recently, the self-expander hydrogel tissue expander is available that expanders our option. This article reviews the influence of ocular abnormalities on the development of the orbit, as well as the advantages and disadvantages of various treatments for promoting the development of the orbit.

关 键 词：小眼 眼球内陷 眼 人工 眼眶植入物 组织移植 

分 类 号：R686[医药卫生—骨科学]