重度眼球萎缩患者巩膜腔HA植入术的临床研究  

Clinical research on the HA implantation in sclera cavity for severe eyeball atrophy patients

作　　者：罗兴华 卓阳 罗春娟 

机构地区：[1]温州市解放军第118医院眼科,浙江温州325000 [2]温州市解放军第118医院外科,浙江温州325000

出　　处：《中国美容医学》2008年第10期1456-1457,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨重度眼球萎缩患者巩膜腔HA植入的可行性。方法:眼轴直径在18mm以下的重度眼球萎缩患者76例(76眼),采用眼内容物去除后,切下直径14mm后巩膜,然后在巩膜腔内植入18～20mmHA眼台并在眼台前覆盖切下的后巩膜,再分层缝合角巩膜瓣筋膜结膜。结果:本组76例患者74例结膜创口Ⅰ期愈合,2例结膜切口裂开经保守治疗后愈合,术后随访6～22月,所有患者无感染、交感性眼炎及义眼台暴露,眼窝饱满,所配戴义眼活动度好,效果满意。结论:巩膜腔AH植入术仍然适合于重度眼球萎缩患者的容貌矫正。Objective To evaluate the effect of HA implantations in sclera cavity near the original site for patients with severe atrophic eyeball. Methods 76 cases （76 eyes） with severe atrophic eyeball which diameter limited to 18mm were selected in this study. All substances in sclera cavity were extracted before post-sclera membrane （diameter 14mm） were sectioned. Then HA eye bases of 18-20mm were implanted in the sclera cavities and covered by post- sclera membrane. Cornea, sclera and conjunctiva were seamed separately. Results 74 cases of 76 cases were healed with first-stage cure conjunctiva, 2 cases got cleft in conjunctiva, recover after conservative treatment. There were no inflammation, consensual eye inflammation or eye base exposure occurred in all patients. All artificial eyes got satisfied results. Conclusions HA implantations in sclera cavity in associate with artificial eyes were suit for severe eyeball atrophy patients to ameliorate appearance.

关 键 词：眼球萎缩 羟基磷灰石义眼台 植入术 

分 类 号：R779.64[医药卫生—眼科]