目的探讨顽固性羟基磷灰石义眼座暴露的处理方法。方法沿暴露的上半结膜缺损边缘在义眼座表面向上分离，两侧剪开形成结膜瓣，宽度与暴露区的直径相同，越过穹隆部后，继续在ｍüｌｌｅｒ肌与提上睑肌腱膜之间分离至睑板上缘，形成一含结膜、筋膜与ｍüｌｌｅｒ肌的带蒂组织瓣膜，覆盖于缺损区。结果随访６～１２个月，５例顽固性义眼座外露均愈合良好，未再复发。结论带结膜的ｍüｌｌｅｒ肌瓣转移修补术是修补顽固性义眼座暴露的有效方法。 Objective To investigate the treatment of refractory hydroxyapatite orbital prosthesis. Methods The upper half of conjunctival defects exposed edge of the upward separation of the surface of the prosthesis, the two sides cut to form a conjunctival flap, the width and the exposed area of ​​the same diameter across the dome, continue in müller muscle and levator aponeurosis Isolated to the upper edge of the tarsal, the formation of a conjunctiva, fascia and müller muscle pedicle tissue valve, covering the defect area. Results The patients were followed up for 6 to 12 months. Five cases of refractory eyelid healed showed no signs of recurrence. Conclusion The müller flap transfer with conjunctiva repair is an effective method to repair the refractory orbital exposure.