眼球摘除及眼内容剜出89例临床分析

Analysis of 89 cases for enucleation of eyeball and evisceration

目的:探讨眼球摘除及眼内容剜出的危险因素及改善预后的方法。方法:收集2006-01以来南京军区福州总医院眼科89例眼球摘除及眼内容剜出病例,从年龄分布、就诊原因、术式选择等方面进行一系列回顾性分析。结果:眼外伤是近年来造成眼球摘除及眼内容剜出的最主要危险因素。结论:做好自我防护及外伤后及时有效的处理是争取保留眼球的关键。恰当的术式及合适的义眼台植入时机将对患者预后有极大帮助。

·AIM：To explore the risk factors and the method for improving the prognosis in enucleation of eyeball and evisceration.·METHODS：A retrospective analysis of 89 cases（89 eyes）in Fuzhou General Hospital of Nanjing Military Region was made through distribution of age,medical reasons,the selection of operations.·RESULTS：In recent years the main risk factors of enucleation of eyeball and evisceration were ocular trauma and its complications.·CONCLUSION：The good self-protection and the timely and effective treatment after ocular trauma are the key points to retain eyeball.Appropriate process and timing of hydroxyapatite（HA）implanting will be good for the prognosis.·