多孔性无眼球眼眶植入物并发症发生率的比较。
Comparison of complication rates of porous anophthalmic orbital implants.
作者信息
Ramey Nicholas, Gupta Divakar, Price Kristina, Husain Amina, Richard Michael, Woodward Julie
机构信息
Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
出版信息
Ophthalmic Surg Lasers Imaging. 2011 Sep-Oct;42(5):434-40. doi: 10.3928/15428877-20110812-03.
BACKGROUND AND OBJECTIVE
Porous anophthalmic orbital implants are used widely. This study evaluates risk factors for porous anophthalmic orbital implant complications and compares complication rates of hydroxyapatite, porous polyethylene, and polyglactin mesh-wrapped aluminum oxide implants.
PATIENTS AND METHODS
The records of 105 patients (110 eyes) who received porous anophthalmic orbital implants for any indication were reviewed retrospectively. Complications were recorded and correlated with potential risk factors, including implant material. All patient records were de-identified to protect privacy.
RESULTS
Porous polyethylene and aluminum oxide implants were associated with higher exposure rates (porous polyethylene: odds ratio 6.1 [1.29, 29.1]; aluminum oxide: odds ratio 6.0 [1.58, 23.1]; P = .004) and higher overall complication rates compared to hydroxyapatite implants.
CONCLUSION
Implant material may be a risk factor for several anophthalmic clinical outcomes.
背景与目的
多孔无眼球眼眶植入物被广泛应用。本研究评估多孔无眼球眼眶植入物并发症的危险因素，并比较羟基磷灰石、多孔聚乙烯和聚乳酸包裹氧化铝植入物的并发症发生率。
患者与方法
回顾性分析105例（110只眼）因任何适应证接受多孔无眼球眼眶植入物患者的记录。记录并发症情况并与潜在危险因素（包括植入材料）进行关联分析。所有患者记录均进行了去识别处理以保护隐私。
结果
与羟基磷灰石植入物相比，多孔聚乙烯和氧化铝植入物的暴露率更高（多孔聚乙烯：比值比6.1 [1.29, 29.1]；氧化铝：比值比6.0 [1.58, 23.1]；P = 0.004），总体并发症发生率也更高。
结论
植入材料可能是几种无眼球临床结局的危险因素。
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