Ducasse A, Segal A, Gotzamanis A, Brugniart C, Rossi P
Service d'Ophtalmologie, Hôpital Robert Debré, av. du général Koenig, 51092 Reims.
J Fr Ophtalmol. 2001 Mar;24(3):277-81.
The authors report the results of enucleations performed from 1985 to 1998 and the different orbital implants used.
All patients undergoing enucleation from 1985 to 1998 were studied.
68 men and 32 women had an enucleation. The main indication was tumoral diseases, principally choroidal melanomas and ciliary melanomas (respectively, 26 and 8). More rarely the indication was orbital metastasis or eyelid carcinoma. The follow indications were traumatisms and neovascular glaucomas. The orbital implants used were mainly Allen implants, silicone implants and hydroxyapatite implants. The main complication was the expulsion of the implant, which occurred in about 20% of the cases, for the most part in the group of silicone and tunnel implants patient. These expulsions were found less with hydroyxapatite implants. For the hydroxyapatite implants we also noticed the some conjunctival erosion. The expulsion of the implant occurred most often before 2 years.
The authors report on the survey of orbital implants used for 14 years. They noticed the high frequency of expulsions when they used tunnel or silicone implants and better results with hydroxyapatite implant.
作者报告了1985年至1998年期间眼球摘除术的结果以及所使用的不同眼眶植入物。
对1985年至1998年期间所有接受眼球摘除术的患者进行了研究。
68名男性和32名女性接受了眼球摘除术。主要指征是肿瘤性疾病，主要是脉络膜黑色素瘤和睫状体黑色素瘤（分别为26例和8例）。较少见的指征是眼眶转移瘤或眼睑癌。其次是创伤和新生血管性青光眼。所使用的眼眶植入物主要是艾伦植入物、硅酮植入物和羟基磷灰石植入物。主要并发症是植入物脱出，约20%的病例发生，大部分发生在硅酮和隧道植入物患者组。羟基磷灰石植入物的此类脱出较少。对于羟基磷灰石植入物，我们还注意到一些结膜糜烂。植入物脱出最常发生在2年之前。
作者报告了对使用14年的眼眶植入物的调查。他们注意到使用隧道或硅酮植入物时脱出频率较高，而羟基磷灰石植入物效果更好。
