楔形填充体矫治眼眶爆裂性骨折所致眼球凹陷  

Treatment of enophthalmos causing by orbital blowout fracture with Wedge filler

作　　者：袁秀云[1] 张潇[2] 

机构地区：[1]唐山市眼科医院,河北063000 [2]河北联合大学,唐山063009

出　　处：《中国实用眼科杂志》2014年第9期1100-1103,共4页Chinese Journal of Practical Ophthalmology

基　　金：2010年唐山市科学技术研究与发展课题（10150204A-5A）;2012年唐山市科学技术研究与发展课题（12140209A-11）

摘　　要：目的评价楔形填充体修复眼眶爆裂性骨折所致眼球凹陷的安全性和有效性。方法对2012年1月至2013年3月在唐山市眼科医院就诊的眼眶爆裂性骨折所致眼球凹陷16例（16只眼）患者，采用楔形填充体修复治疗，观察比较其术前术后眼球突出度、复视及视力情况等。结果所有病例均获得不同程度外观的改善，手术未影响视力，未出现复视及眼位改变，术后随访期间无植入物感染、排出或移位等并发症。结论楔形填充体治疗眼眶爆裂性骨折所致的眼球凹陷安全有效，是目前既能修复眶壁又能增加眼眶容积、进而矫正眼球内陷的理想材料。Objective To evaluate the safety and efficacy of the wedge infill which was for repair of enophthalmos causing by orbital blowout fractures. Methods Sixteen cases （16 eyes） with enophthalmos causing by orbital blowout fractures in Tangshan ophthalmologic hospital from January 2012 to March 2013 were selected, and orbital blowout fractures were repaired by Wedge filler. The condition of proptosis, diplopia and vision were compared between preoperative and postoperative.Results There were different degrees of improvement in the appearance in all patients. The vision did not affect by operation, and diplopia and change of the eye position were absent either. More- over, there was no implant infection, discharge or displacement and other complications in all cases during postoperative follow-up period. Conclusions Wedge filler is secure and effective in treatment of enophthalmos causing by orbital blowout fracture. It is an ideal material for the correction of enophthalmos, which is result from repairing the orbital wall and increasing the orbital volume.

关 键 词：楔形填充体 眼眶骨折 眼球内陷 手术 

分 类 号：R779.1[医药卫生—眼科]