HA花瓣状巩膜壳内植入的临床研究

Clinical research of HA petal-like scleral shell implantation

目的:探讨羟基磷灰石义眼台(HA),Ⅰ期植入花瓣状巩膜壳内的手术效果。方法:对有眼球内容物剜除术适应证的病例,实施眼球内容物剜除术,依据眼B超和钢球模检测所需羟基磷灰石义眼台型号,将羟基磷灰石义眼台Ⅰ期植入花瓣状巩膜壳内,其表面双层巩膜覆盖。随访6～15mo,观察术后效果。结果:患者48例48眼均成功植入羟基磷灰石义眼台,并获得较满意的外观美容效果。结论:羟基磷灰石义眼台Ⅰ期植入花瓣状巩膜壳内术式,保留了眼球六条附属肌肉及其功能,义眼台前方自体巩膜双层覆盖防止眼台暴露,改善眼内容物剜出术后眼窝塌陷等畸形,达到较为理想的一种眼部整形效果。

AIM： To investigate the hydroxyapatite（HA） orbital, Ⅰ implant surgery within the petal-shaped scleral shell effects. METHODS：On the cases of enucleation of eyeballs contents indications, we implement the surgery of enucleation of the eye contents. Based on the b-ultrasound and steel balls, we can check out the required model of the HA orbital. After the implantation of hydroxyapatite artificial eye Ⅰ petal-shaped scleral shell, its surface is double layer sclera covered. In the following 6 to 15 months, the postoperative outcome was observed. RESULTS：The 48 cases（48 eyes） were all successfully implanted in HA orbital and achieved more satisfactory appearance of the cosmetic results. CONCLUSION：The Ⅰ implantation of hydroxyapatite artificial eye Taiwan petal-shaped scleral shell keeps eye on six subsidiary muscle and its function, orbital autologous sclera double front coverage prevent eye exposure, improve enucleation of the eye sockets after collapse deformities and achieve ideal eye plastic effect.