萎缩眼球的多层球筋膜及结膜全角膜覆盖术

Pan-kerotoleptynsis for atrophy eyeball with multi-layered ball fascia and conjunctiva

目的:探索一种改善眼球萎缩患者容貌的简便方法。方法:对88例眼球萎缩患者施行多层球筋膜及结膜全角膜覆盖术,术后1月配戴定做薄型义眼膜以改善患者容貌缺陷。结果:88例患者共88只患眼在经过治疗并配戴义眼膜后,在静态和动态情况下都能达到满意的美容效果。未出现角膜暴露、结膜囊狭窄等并发症,亦未发现诱发眼部炎症。结论:保留萎缩眼球的球筋膜结膜遮盖角膜术是一种改善眼球萎缩患者容貌的简便经济方法,可以作为羟基磷灰石义眼座眶内植入术的替代手术。

Objective To explore a simple method for imProvement appearance of patients with ophthalmotrphia. Methods Pan-kerotoleptynsis with multi-layered ball fascia and conjunctiva were carried out for 88 patients with ophthalmotrphia. Individual thin false eye membranes were worn to restore patients＇ appearance in one month after operations. Results Satisfying the cosmetology effect were achieved in all 88 patients whether in static state or dynamic situation. No complications of the cornea exposition and the saccus conjunctivalis narrowly and the ocular inflammation was found in those patients. Conclusion Pan-kerotoleptynsis with multi-layered fascia and conjunctiva might be an effective and convenient alternative method to HA false eyeball implantation in orbit for patients with ophthalmotrphia.