羟基磷灰石义眼座植入术后眼座暴露原因及处理  

Causes and management of exposed hydroxyapatite artificial eye pedestal after implantation

作　　者：唐香 杨林红 皇甫昌涛 刘艳 杨瑛 李慧 

机构地区：[1]曲靖市第二人民医院眼科,云南655000

出　　处：《中国实用眼科杂志》2013年第9期1178-1180,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨羟基磷灰石（Hydroxyapatite，HA）义眼座，植入术后暴露的原因及处理。方法对40例义眼座植入患者进行随访分析。术后发生义眼座暴露8例（20％）。针对暴露的程度及原因采取不同的治疗方法。结果3例轻度患者经保守治疗愈合，4例中重度患者经羊膜移植愈合，1例重度患者经取出义眼座后愈合，随诊3月至3年无复发。结论羟基磷灰石义眼座植入术后暴露的原因与多种因素有关，恰当地处理可以使之恢复。羊膜移植是治疗中重度结膜裂开、眼座暴露的有效方式。Objective To analyze the causes and management of exposed hydroxyapatite （HA） ar- tificial eyes after implantation. Methods Forty patients were performed artificial orbit implantation and followed up. Artificial orbital implant exposure was observed in 8 of the 40 cases （20.0%）. Dif-ferent therapies were applied to different cases in accordance to the causes. Results Three cases of mild patients by conservative treatment healing, 4 cases of moderate and severe patients by amniotie membrane transplantation healing, 1 case of severe patients after the removal of artificial eye pedes-tal healing, and no recurrence was observed after 3 months to 3 years follow up. Conclusions Sev-eral factors may contribute to the implant exposure; proper management is effective for the exposure of hydroxyapatite. Amniotic membrane transplantation is an effective way in the treatment of moder-ate and severe exposure of hydroxyapatite.

关 键 词：羟基磷灰石 暴露 手术后并发症 羊膜移植 

分 类 号：R779.64[医药卫生—眼科]