义眼座植入联合羊膜移植结膜囊重建术疗效观察

Therapeutic effect of amniotic membrane transplantation for reconstruction of conjunctival sac combined with orbital implant implantation

目的观察义眼座植入联合羊膜移植结膜囊重建术的疗效。方法对30例(30眼)眼窝凹陷合并Ⅰ、Ⅱ度结膜囊狭窄行义眼座植入联合羊膜移植结膜囊重建术。术后上下睑缘褥式缝合,3月后拆除眼睑缝线,定制义眼。结果术后12眼Ⅰ度结膜囊狭窄全部治愈;18眼Ⅱ度结膜囊狭窄中15眼治愈,3眼好转。30眼均无义眼座暴露或感染等并发症,术后义眼座的活动度和外观较好。结论眼窝凹陷合并Ⅰ、Ⅱ度结膜囊狭窄采用义眼座植入同期行羊膜移植术较安全有效。

Objective To observe the therapeutic effect of amniotic membrane transplantation for reconstruction of conjunctival sac combined with orbital implant implantation. Methods Thirty cases suffered of orbital sunken combined with degree Ⅰ or degree Ⅱ conjunctival constriction were treated with amniotic membrane transplantation for reconstruction of conjunctival sac and combined with orbital implant implantation simultaneously. The superior and lower eyelid were closed with mattress suture. Stitches were removed three months after surgery and the suitable prosthesis was made. Results Three months after surgery,12 eyes of degree Ⅰ conjuncrival sac constriction were all cured. In degree Ⅱ conjunctival sac constriction, 15 eyes were cured and 3 eyes were improved. No exposure, secondary infection or symblepharon were occurred in 30 eyes with completed treatment,and these patients were satisfied with the good motility and the cosmetic results. Conclusions Amniotic membrane transplantation for reconstruction of conjunctival sac combined with orbital implant implantation is safe and effective in orbital sunken combined with degree Ⅰ or degree Ⅱ conjunctival constriction.