改良眼内容物剜除术在预防眼窝凹陷中的应用

Clincal application of improved eye content scraping on the prevention of eye sockets

目的：探讨改良眼内容物剜除术替代义眼台植入预防眼窝凹陷的方法及临床效果。方法：对36例（36）眼视力丧失患者行保留角膜的眼内容物剜除术，术中将眼内容物及色素剜除干净，剪断视神经。术后1月订做并佩戴义眼片改善外观，随访6～24个月。结果：36例（36眼）眼眶区饱满，睑裂高度双眼基本对称，义眼活动度良好。结论：改良式眼内容物剜除术操作简便，疗效好，痛苦小，费用低，并发症小，值得基层医院推广应用。

Objective To explore a now way to replace the orbital implant and observe its clinical effect. Methods A total of 36 patients underwent corneal retention enucleation were observed.During the operation of intraocular contents and pigment enucleation clean,and cut the optic nerve.Ocular prosthesis were ordered through individuation 1 month after operation,the follow up period ranged from 6-24 months. Results All patients eye socket was well-stacked,the palpebral fissure height was symmetry,the false eyes moved well,all eye socket sunken were modified,the appearance improved markedly. Conclusion Modified tendon capsule cover combine with evisceration and cut off the opticis a les pain,cost less operation.It has no complications ,and is economic and worthy of generalization used in primary hospitals.