改良全结膜瓣遮盖术治疗眼球萎缩

Clinical observation on treatment of atrophic eyeball by using an improved whole conjunctival flap covering operation

目的探讨保留萎缩眼球术后配戴薄性义眼片的方法及临床效果。方法轻中度眼球萎缩患者7例（7眼），行患眼角膜板层切除联合全结膜瓣遮盖术，术后1月配戴薄性义眼片，随访1月-1年半，观察其临床效果。结果7例配戴薄性义眼片后，眼球外观及活动度良好，有良好的仿真效果及心理满意度。结论对于轻中度眼球萎缩希望保留眼球，又想改善外观患者，改良全结膜瓣遮盖术并配戴合适薄性义眼片，不失为一种较好的治疗方法。

Objective Approaching a method and clinical effect on retain-wearing thin ocular prosthesis after whole conjunctival flap covering operation. Methods Observing clinical effect on 7 mild to moderate atrophic eyeball patients with surgical excision of corneoeonjjnetival malignant melanoma and whole conjunctival flap covering operation, wearing thin ocular prosthesis for one month ater operation ,following-up patients for one to eighteen month. Results The eyeball outward appearances and movement extents of the 7 patients are satisfactory, it may produce fine simulation effect and mental satisfaction. Conclusions To mild to moderate atrophic eyeball patients who wantto treain eyeballs and want to improve outward appearances, the improved whole conjunctival flap covering operation and wearing thin oelar prosthesis is an ideal treatment.