摘要
目的 观察眼球摘出后羟基磷灰石眼座眶内植入的疗效。方法 采用巩膜或硬脑膜包裹羟基磷灰石作为眶内植入物 ,观察 12 7例的疗效 ,其中 66例摘出眼球或眼内容后Ⅰ期植入 ,61例Ⅱ期植入。术后半年钻孔 74例。结果 随访 1～ 3 6月 5例出现眼座暴露 ,未见眶内感染或植入物排出现象。义眼运动良好 ,钻孔手术后联动义眼活动度达 3 0°～ 45°。结论 羟基磷灰石眼座眶内植入并发症少 ,植入后外观满意 ,眼片活动度佳 ,能达到仿真效果。
Objective To evaluate the clinical effect of a surgical procedure to reconstruct socket with hydroxyapatite in the anophthalmic patient.Methods Hydroxyapatite was wrapped up in the scleral or dura mater shell as a orbital implant.127 consecutive patients were followed,66 of whom had been referred for primary enucleation of evisceration,and 61 for secondary implant surgery.74 patients had been drilled.Results No inflammation or implant extrusion occurred in 1～36 months of follow up.Five of 127 patients had implant exposure.The movement of the prosthesis is excellent when the implant is coupled to the prothesis via a peg.Conclusions The hydroxyapatite orbital implant give good cosmetic results with good motility of the artificial eye and is associated with a low rate of complications.
出处
《眼外伤职业眼病杂志》
北大核心
2000年第3期305-306,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
