改良眼内容物剜出联合义眼台植入术在眼球萎缩中的应用  

Application of modified ocular content enucleation combined with prosthesis implantation in the treatment of ocular atrophy

作　　者：王培 刘志彬 谭念 许建涛 WANG Pei;LIU Zhibin;TAN Nian;XU Jiantao(Department of Ophthalmology,Chongqing Aier Eye Hospital,Chongqing 400020,China;Department of Ophthalmology,Army Medical Center of PLA,Chongqing 400042,China;Department of Ophthalmology,Chongqing Wanzhou Aier Sunshine Eye Hospital,Chongqing 404100,China)

机构地区：[1]重庆爱尔眼科医院眼科,400020 [2]陆军特色医学中心眼科,重庆400042 [3]重庆万州爱尔阳光眼科医院眼科,404197

出　　处：《重庆医学》2023年第6期892-896,共5页Chongqing medicine

摘　　要：目的针对眼球萎缩患者采用一种改良的眼内容物剜出联合义眼台植入的方法,探讨新方法的疗效及术后出现义眼台暴露的风险。方法回顾性收集2009年6月至2018年8月重庆爱尔眼科医院、陆军特色医学中心、重庆万州爱尔阳光眼科医院收治的376例眼球萎缩患者的临床资料,所有患者均行眼内容物剜除联合义眼台植入术,收集患者临床资料,并观察临床疗效及并发症发生情况。结果所植入的义眼直径为20~23 mm,其中直径20 mm的有63例(16.8%),21 mm的200例(53.3%),22 mm的109例(29.0%),23 mm的4例(0.9%)。B超扫描结果显示,患眼眼轴在10~15 mm的有130眼(34.6%),眼轴在16~20 mm的有246眼(65.4%)。术后3个月复查,均未发现义眼台暴露、结膜囊狭窄的发生,并定制义眼佩戴。结论眼球萎缩患者采用改良眼内容物剜出联合义眼台植入术可有效减少义眼台暴露的风险。Objective To test a modified method of ocular content enucleation combined with prosthesis implantation in patients with ocular atrophy,and to investigate the efficacy of the new method and the risk of exposure of implant after surgery.Methods Clinical data of 376 patients with ocular atrophy admitted to Chongqing Aier Eye Hospital,Army Medical Center of PLA,and Chongqing Wanzhou Aier Sunshine Eye Hospital from June 2009 to August 2018 were retrospectively collected.All patients underwent ocular content enucleation combined with prosthesis implantation.Clinical data were collected and clinical efficacy and complications were observed.Results The diameter of implanted prostheses was 20-23 mm,of which 63 cases(16.8%)were 20 mm,200 cases(53.3%)were 21 mm,109 cases(29.0%)were 22 mm,and four cases(0.9%)were 23 mm.The results of B-scan showed that 130 eyes(34.6%)had axes of 10-15 mm,and 246 eyes(65.4%)had axes of 16-20 mm.The reexamination three months after the surgery did not find any exposure of the implant or conjunctival sac stenosis,and the implant was customized for wearing.Conclusion In patients with ocular atrophy,modified ocular content enucleation combined with prosthesis implantation can effectively reduce the risk of implant exposure.

关 键 词：自体巩膜 义眼台植入 眼球萎缩 眼内容物剜除 暴露 

分 类 号：R777.5[医药卫生—眼科]