Tawfik Hatem A, Dutton Jonathan J
Department of Ophthalmology, Ain-Shams University, Cairo, Egypt.
Ophthalmology. 2004 Jul;111(7):1401-6. doi: 10.1016/j.ophtha.2003.09.050.
To determine the efficacy of primary placement of a motility coupling post (MCP) in evisceration with the porous polyethylene (PP) implant.
Retrospective noncomparative, interventional case series.
Twenty patients undergoing evisceration.
A modified evisceration technique with porous polyethylene implants was performed, in which an MCP was placed primarily during the initial surgery. All patients were observed postoperatively for a minimum of 3 months.
Socket motility, final position of the MCP in the orbit, patient satisfaction.
At the last follow-up visit, an acceptable range of motility was attained in all patients. Nineteen patients had a centrally positioned MCP, and all patients were pleased with the cosmetic outcome and the range of motility achieved. Minor complications were noted, including a malpositioned MCP (n = 1) and poor motility in upgaze (n = 8).
Primary peg placement at the time of evisceration with the PP implant is a promising technique with relatively minor complications so far, but properly constructed studies are required prospectively to compare motility with the MCP versus nonpegged implants.
确定在眼球摘除术中初次植入活动连接柱（MCP）并联合使用多孔聚乙烯（PP）植入物的疗效。
回顾性非对比性介入病例系列研究。
20例行眼球摘除术的患者。
采用改良的多孔聚乙烯植入物眼球摘除技术，在初次手术时主要植入MCP。所有患者术后至少观察3个月。
眼窝活动度、MCP在眼眶内的最终位置、患者满意度。
在最后一次随访时，所有患者均获得了可接受的活动度范围。19例患者的MCP位于中心位置，所有患者对美容效果和所达到的活动度范围均感到满意。记录到了轻微并发症，包括MCP位置不当（1例）和上视时活动度差（8例）。
在使用PP植入物进行眼球摘除术时初次植入栓柱是一种很有前景的技术，目前并发症相对较少，但需要进行前瞻性的规范研究，以比较使用MCP与未植入栓柱的植入物时的活动度情况。
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