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目的 探讨如何改善少部分患者行眼窝内羟基磷灰石义眼台置入术后再度出现轻、中度眼窝凹陷的外观。方法 自颞下或鼻下穹窿部剪开结膜 ,在两直肌间向义眼台球后分离 ,以异体巩膜包裹小块羟基磷灰石作为填充物置入球后 ,使眼窝重新饱满。结果 31例术后外观满意 ,观察 48个月疗效稳定 ,无义眼台移位、上睑下垂等并发症。结论 用异体巩膜包裹的小块羟基磷灰石行义眼台球后填充术是治疗复发性眼窝凹陷的一种简便有效的方法。
Objective To explore how to improve the appearance of mild or moderate orbital sunken eyes after the hydroxyapatite orbital implantation in a small number of patients. Methods The conjunctiva was excised from the inferior temporal or subnasal fornix and separated to the eyeball in the rectus between the two rectus muscles. After the small sclera was wrapped with hydroxyapatite as a filler, the eyeballs were re-filled. Results The postoperative appearance of 31 patients was satisfactory. The curative effect was stable at 48 months, and complications such as non-prosthetic eye shift and ptosis were observed. Conclusion The small hydroxyapatite wrapped with allogeneic sclera is a simple and effective method for the treatment of recurrent orbital sunken eyes.