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一种治疗眶脂肪脱垂的新手术技术。

A new surgical technique for the management of orbital fat prolapse.

作者信息

Otaka I, Kyu N

机构信息

Department of Ophthalmology, Shizuoka Red Cross Hospital, 8-2 Outemachi, Shizuoka 420-0853, Japan.

出版信息

Am J Ophthalmol. 2001 Feb;131(2):267-9. doi: 10.1016/s0002-9394(00)00779-0.

Abstract

PURPOSE

To present a new surgical technique for the management of orbital fat prolapse.

METHODS

Four eyes of three patients (average age +/- SD: 73.0 +/- 6.9 years; range, 69 to 81 years) who presented with orbital fat prolapse were treated with conjunctival fixation to the sclera approximately 8 to 10 mm posterior to the corneoscleral limbs in the area of orbital fat prolapse with four to seven 6.0 Vicryl (polyglactin 910, Johnson & Johnson, New Brunswick, New Jersey) stitches.

RESULTS

The treatment with conjunctival fixation to the sclera was successful in all four eyes, and during a mean follow-up period of 357.5 days (+/-SD: +/-189 days; range, 641 to 263 days), there has been no recurrence of orbital fat prolapse.

CONCLUSION

We successfully treated orbital fat prolapse with conjunctival fixation to the sclera, a new surgical approach for this condition.

摘要

目的

介绍一种治疗眶脂肪脱垂的新手术技术。

方法

对3例患者的4只眼(平均年龄±标准差:73.0±6.9岁;范围69至81岁)出现眶脂肪脱垂,在眶脂肪脱垂区域距角膜缘后约8至10毫米处,用4至7根6.0号薇乔缝线(聚乙醇酸910,强生公司,新泽西州新不伦瑞克)将结膜固定于巩膜。

结果

所有4只眼结膜固定于巩膜的治疗均成功,在平均357.5天(±标准差:±189天;范围263至641天)的随访期内,眶脂肪脱垂未复发。

结论

我们通过结膜固定于巩膜成功治疗了眶脂肪脱垂,这是针对该病症的一种新手术方法。

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