赤道巩膜切开术在外伤性眼球萎缩和小眼球中的应用。
Evisceration with equatorial sclerotomy for phthisis bulbi and microphthalmos.
机构信息
Center for Facial Appearances, Salt Lake City, Utah, USA.
出版信息
Ophthalmic Plast Reconstr Surg. 2010 May-Jun;26(3):165-7. doi: 10.1097/IOP.0b013e3181b8c895.
PURPOSE
To describe a new technique for ocular volume augmentation at the time of evisceration in patients with phthisis bulbi and microphthalmos.
METHODS
A retrospective, interventional, noncomparative case series of all patients with phthisis bulbi and microphthalmos who underwent successful evisceration with equatorial sclerotomy. The medical records were reviewed for patient history, surgical method, and postoperative course.
RESULTS
Eighteen patients (16 with phthisis bulbi and 2 with microphthalmos) underwent evisceration with equatorial sclerotomy and placement of an orbital implant of 20 mm in 11 patients (61%), 18 mm in 6 patients (33%) and 16 mm in 1 patient. Complications encountered were implant exposure in one patient, fornix shortening and symblepharon in one patient, and enophthalmos in another.
CONCLUSION
Equatorial sclerotomy could be a useful adjuvant technique for placement of a larger orbital implant at the time of evisceration in patients with phthisis bulbi and microphthalmos.
目的
描述在眼球萎缩和小眼球患者眼球摘除时进行眼球容积增大的新技术。
方法
回顾性、干预性、非对照的病例系列研究，纳入所有接受赤道巩膜切开术成功进行眼球摘除的眼球萎缩和小眼球患者。回顾患者病史、手术方法和术后过程的医疗记录。
结果
18 名患者（16 名眼球萎缩和 2 名小眼球）接受了赤道巩膜切开术和 20mm 眼眶植入物的眼球摘除术，11 名患者（61%）植入了 18mm 的植入物，6 名患者（33%）植入了 16mm 的植入物，1 名患者植入了 16mm 的植入物。术中发现的并发症有 1 例植入物暴露，1 例穹窿缩短和睑球粘连，另 1 例出现眼球内陷。
结论
在眼球萎缩和小眼球患者眼球摘除时，赤道巩膜切开术可作为一种有用的辅助技术，用于放置更大的眼眶植入物。
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