两种羧基磷灰石义眼座植入术的比较和运用

Comparison and application of two methods implantation of hydroxyatite artificial eye

目的：观察比较羧基磷灰石（hydroxyatite,HA）义眼座植入术的临床效果。方法：对24例24眼行Ⅰ期HA义眼座植入术采用不同的术式：双层帽状巩膜下义眼座肌锥内植入;断视神经巩膜腔原位义眼座植入法。观察手术中、术后情况及并发症,术后随访时间≥3mo。结果：术后1-3mo,创口Ⅰ期愈合24眼,无义眼座暴露、排斥、感染者,术后眼窝成形好。24例Ⅰ期植入术后效果好。结论：针对不同的病例采用两种不同术式,操作简便,易于掌握,并发症少,术后效果好。

· AIM：To compare the clinical effect of the implantation of the hydroxyatite（HA）artificial eye.· METHODS：Totally 24 cases 24 eyes underwent two different operation methods usingⅠstage implantation of the HA artificial eye：HA artificial eye implantation in vertebra under the double deck sclera cap and the HA artificial eye sclera cavea implantation after cutting off the cranial nerve.The complication,condition at and after operation were observed.The follow-up time was not shorter than 3 months.· RESULTS：One to three months after operation the tresis vulnus cicatrization was Ⅰstage in 24 eyes,without the exposure of the artificial eye,without the rejection and infectnon of the artificial,the eye eyehole shaping is good.Postoperation effectiveness was good in 24 cases.· CONCLUSION：Different cases are treated with two different methods;the performance is convenient;the complication is low;and postoperation effectiveness is good.·