改良巩膜壳内羟基磷灰石义眼台植入术的临床观察  

Clinical observation of modified hydroxyapatite implant in scleral shell

作　　者：杜青卫[1] 王理论[1] 

机构地区：[1]延安大学附属医院眼科,中国陕西省延安市716000

出　　处：《国际眼科杂志》2014年第10期1904-1905,共2页International Eye Science

摘　　要：目的：评价改良巩膜壳内羟基磷灰石义眼台植入术的临床效果。方法：对34例患者施行眼内容物剜除后,自体巩膜壳前后均瓣状成形并后巩膜开窗,一期植入羟基磷灰石义眼台,术后观察结膜伤口愈合情况、义眼台活动度及并发症的出现情况。结果：随访观察6~12mo,未发现义眼台暴露、巩膜溶解、结膜伤口裂开、结膜囊缩窄病例。安装义眼片后,活动度良好,眼球内外侧转动可达10o~15o,睑裂双侧等大,外观双眼基本对称,眼窝饱满。结论：改良巩膜壳内羟基磷灰石义眼台植入术基本保持了眶内组织的正常解剖关系,术后眼窝饱满度、义眼台活动度良好,手术操作简单易行。通过观察随访,并发症少,临床效果满意。AIM： To evaluate the clinical effects of modified hydroxyapatite implant in scleral shell. METHODS： Thirty - four cases were performed eye evisceration, autogenous sclera shell anterior and posterior petaloid shape with posterior sclera fenestration, hydroxyapatite artificial eyeballs were implanted at stage I, and conjunctival wound, orbital activity and other complications were observed after surgery. RESULTS：The follow-up was 6 ~12mo. There was no patients with implant exposure, sclera dissolution, conjunctival wound dehiscence, conjunctival sac constriction noted. All the patients got good activity of artificial globe, and the active range of side motion of the HA was 10o ~15o. The artificial eyes looked symmetrical, and the eyes socket were full. CONCLUSION： The modified hydroxyapatite implant in scleral shell can maintain the normal anatomy of the orbital tissue, and also can get full eyes socket and good activity, It was an easy and simple surgery which could obtain satisfactory clinical effect and less complications.

关 键 词：眼内容物剜除 羟基磷灰石 义眼台植入术 

分 类 号：R779.64[医药卫生—眼科]