Mohammad Abd El-Nasser A
Department of Ophthalmology, Assuit University, Egypt.
Orbit. 2009;28(2-3):172-5. doi: 10.1080/01676830802609066.
Is to present a simple technique for complete excision of microphthalmia and its huge cyst.
Five patients with microphthalmia and huge cyst were included. The pathology was bilateral in one case. Lateral canthotomy was performed in all cases. The 4 recti of the small eye were exposed and dis-inserted with application of 4 tractional sutures at the insertion sites. Gentle traction and blunt dissection with protection of the cyst by malleable retractor were used to release the cyst gradually. The optic nerve was clamped and cauterized. By cutting the optic nerve, the microphthalmic eye and its huge cyst came out easily.
In no patient was the cyst was ruptured or incompletely excised.
This technique is simple, fast and effective for complete excision of the microphthalmia and its huge cyst completely.
介绍一种完整切除小眼畸形及其巨大囊肿的简单技术。
纳入5例小眼畸形伴巨大囊肿患者。1例为双侧病变。所有病例均行外眦切开术。暴露小眼的4条直肌，并在附着点处应用4根牵引缝线将其离断。使用可塑形牵开器轻柔牵引并钝性分离，同时保护囊肿，使囊肿逐渐松解。夹闭并烧灼视神经。切断视神经后，小眼及其巨大囊肿很容易取出。
所有患者的囊肿均未破裂或切除不完全。
该技术简单、快速且有效，可完全切除小眼畸形及其巨大囊肿。
