结膜囊义眼片促进眼眶发育的临床疗效观察  

The Clinical Effect of Conjunctival Sac Artificial Eye in Stimulating the Growth of Orbital and Conjunctival Sac

作　　者：刘晓瑛[1] 张红[1] 康剑书[1] 胡竹林[1] 

机构地区：[1]昆明医科大学第四附属医院眼科,云南昆明650032

出　　处：《昆明医科大学学报》2013年第12期40-43,共4页Journal of Kunming Medical University

基　　金：云南省科技厅应用基础研究基金资助项目(2010ZC223)

摘　　要：目的观察先天性眼球发育不良的患儿使用"板层角膜切削+结膜瓣覆盖+义眼片植入术"后眼眶及结膜囊发育的疗效.方法回顾性分析2009年1月至2013年12月间昆明医科大学附属第四医院眼科收治的12例(12眼)先天性眼球发育不良患儿的临床资料.1例先天性无眼球,11例先天性小眼球;1例患儿因先天性无眼球未行手术,直接置入义眼片;7例患儿结膜囊无明显狭窄,实行"板层角膜切削+结膜瓣覆盖+义眼片置入术",4例患儿结膜囊明显狭窄,实行"板层角膜切削+结膜瓣覆盖+义眼片置入+眼睑缝合术".结果儿童眼球发育不良不能佩戴义眼片的患儿经使用"板层角膜切削+结膜瓣覆盖+义眼片置入术"后,观察结膜囊发育良好,结膜覆盖角膜良好无暴露,眼眶容积和外观均改善明显,术后可常规佩戴义眼片.结论板层角膜切削+结膜瓣覆盖+义眼片置入手术是促进先天性眼球发育不良患儿的眼眶及结膜囊发育的有效方法 .Objective To observe the clinical effect of ＂lamellar keratectomy ＋ conjunctival flap ＋ implanted artificial eye＂in stimulating the orbital and conjunctival sac growth. Methods A retrospective case study： 12 cases （12 eyes） with congenital microphthalmos in the Fourth Affiliated Hospital of Kunming Medical University in 2009-2013 were selected. In these cases, there were 11 cases of microphthalmos, and 1 patient due to congenital absence of the eye without surgery, were given direct implant of the artificial eye; 7 patients without significant stenosis in conjunctival sac, received the ＂lamellar keratectomy ＋ eonjunctival Flap ＋ implantation of artificial eye＂, 4 patients with conjunctival sac stenosis recieved the＂lamellar keratectomy ＋ conjunctival flap ＋ implanted artificial eye ＋ eyelid suture＂. Results For stunted children who couldn＇t wear a prosthetic eye, after treated with ＂lamellar keratectomy ＋ conjunctival flap ＋ artificial eye implantation＂, the eonjunctival sac developed well, cornea was covered with conjunctiva well and no exposure, the appearance and volume of orbit was also improved. Conclusion ＂Lameliar keratectomy ＋ conjunctival flap ＋ artificial eye implant ＂surgery is an effective way to promote orbital and conjunctival sac development of the children with congenital microphthalmos.

关 键 词：无眼球和小眼球 义眼片 眼眶 结膜囊 

分 类 号：R246.82[医药卫生—针灸推拿学]