Kohlhaas Markus, Schulz Dominic
Universitäts-Augenklinik Carl Gustav Carus Dresden.
Klin Monbl Augenheilkd. 2003 Jun;220(6):418-22. doi: 10.1055/s-2003-40276.
Orbital implants are used to prevent post-enucleation-syndromes and to improve prosthesis motility.
20 patients without and 32 patients with orbital implants were examined 6 to 14 years after enucleation. Maximum prosthesis motility in 4 directions, width of the palpebral fissure and vertical difference of the eye axis were measured using Kestenbaum glasses. The apex of the prosthesis was measured with a Hertel exophthalmometer. The post-enucleation-syndrome was assessed by a 4 point scale by the investigators.
Post-enucleation-syndromes are significantly (p < 0.01) less pronounced in patients with orbital implants, also prosthesis motility is significantly (p < 0.05) larger. The width of the palpebral fissure and the vertical difference of the eye axis is not significantly (p > 0.05) altered.
Primary orbital implants allow for prevention of a post-enucleation-syndrome and a better functional and cosmetic outcome.
眼眶植入物用于预防眼球摘除术后综合征并改善义眼活动度。
对20例未植入眼眶植入物和32例植入眼眶植入物的患者在眼球摘除术后6至14年进行检查。使用凯斯滕鲍姆眼镜测量义眼在4个方向上的最大活动度、睑裂宽度和眼轴垂直差异。用赫特尔眼球突出计测量义眼顶点。研究者采用4分制评估眼球摘除术后综合征。
植入眼眶植入物的患者眼球摘除术后综合征明显（p < 0.01）减轻，义眼活动度也明显（p < 0.05）增大。睑裂宽度和眼轴垂直差异无明显（p > 0.05）改变。
一期眼眶植入物可预防眼球摘除术后综合征，并获得更好的功能和美容效果。
