Christmas N J, Van Quill K, Murray T G, Gordon C D, Garonzik S, Tse D, Johnson T, Schiffman J, O'Brien J M
Bascom Palmer Eye Institute, University of Miami School of Medicine, Fla 33101, USA.
Arch Ophthalmol. 2000 Apr;118(4):503-6. doi: 10.1001/archopht.118.4.503.
Orbital implants are used routinely in pediatric patients at the time of enucleation. Complications, such as exposure, ptosis, and infection, may occur after implantation. Controversy continues regarding the rate of complications with newer implants in the pediatric population.
To examine the effects of orbital implants on children whose eyes have been enucleated.
Records of orbital implantation after enucleation performed by 5 surgeons on 120 pediatric patients (123 eyes) over a 10.5-year period were reviewed retrospectively. Demographic data, ocular diagnosis, prior ophthalmic surgery, implant characteristics, and postoperative complications were described using a standardized format for all patients, with a minimum of 6 months of follow-up (mean, 3 years).
Complications were observed in 7 eyes (5.7%). Implant exposure (1 [0.8%]), implant extrusion (0 [0%), and implant migration (3 [2.4%) were rare. One hundred eighteen eyes (96%) had good cosmesis and 120 (98%) had good motility.
Orbital implantation after enucleation is successful in the pediatric population. Complications are minimal. Hydroxyapatite implants were not associated with unacceptable complications in this pediatric population.
眼眶植入物在小儿眼球摘除术时常规使用。植入后可能会出现如暴露、上睑下垂和感染等并发症。关于小儿人群中新型植入物的并发症发生率仍存在争议。
研究眼眶植入物对已摘除眼球的儿童的影响。
回顾性分析5位外科医生在10.5年期间对120例小儿患者（123只眼）进行眼球摘除术后眼眶植入的记录。使用标准化格式描述所有患者的人口统计学数据、眼部诊断、既往眼科手术、植入物特征和术后并发症，随访时间至少6个月（平均3年）。
7只眼（5.7%）出现并发症。植入物暴露（1只眼[0.8%]）、植入物挤出（0只眼[0%]）和植入物移位（3只眼[2.4%]）很少见。118只眼（96%）外观良好，120只眼（98%）活动良好。
小儿人群眼球摘除术后眼眶植入术是成功的。并发症极少。在该小儿人群中，羟基磷灰石植入物未出现不可接受的并发症。
