Department of Ophthalmology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Ophthalmic Plast Reconstr Surg. 2012 Sep-Oct;28(5):324-7. doi: 10.1097/IOP.0b013e31825238c9.
Anophthalmia is associated with a range of psychosocial difficulties and hydroxyapatite orbital implant insertion and prosthesis wearing is the predominant rehabilitation therapy for anophthalmia. However, few articles have compared preoperative and postoperative psychosocial outcomes using standardized questionnaires. This study aimed to investigate the psychosocial benefits of hydroxyapatite orbital implant insertion and prosthesis wearing in this patient population.
In all, 36 participants were tested preoperatively and 6-months postoperatively using standardized measures of anxiety and depression (Hospital Anxiety and Depression Scale), social anxiety and social avoidance (Derriford Appearance Scale-Short Form), and quality of life (World Health Organization Quality of Life Scale-Short Form).
Before treatment, levels of depression were comparable with population norms; however, levels of general anxiety were slightly raised, levels of social anxiety, social avoidance, and quality of life were significantly poorer than population norms. Treatment resulted in significant improvement in psychosocial adjustment with improvements in all study variables for the participant group as a whole.
Hydroxyapatite orbital implant insertion and prosthesis wearing offers significant improvements in psychological and physical functioning for patients with anophthalmia.
先天性眼盲会导致一系列的社会心理问题，而羟基磷灰石眶内植入物的植入和义眼佩戴是先天性眼盲的主要康复治疗方法。然而，很少有文章使用标准化问卷来比较术前和术后的社会心理结果。本研究旨在探讨羟基磷灰石眶内植入物植入和义眼佩戴在这一患者群体中的社会心理益处。
共有 36 名参与者在术前和术后 6 个月使用标准化的焦虑和抑郁量表（医院焦虑和抑郁量表）、社交焦虑和社交回避量表（德里福德外貌量表-简化版）以及生活质量量表（世界卫生组织生活质量量表-简化版）进行了测试。
治疗前，抑郁水平与人群正常值相当；然而，一般焦虑水平略高，社交焦虑、社交回避和生活质量水平明显低于人群正常值。治疗后，患者的社会心理适应能力显著改善，所有研究变量在整个参与者组中均有改善。
羟基磷灰石眶内植入物的植入和义眼佩戴为先天性眼盲患者提供了显著的心理和生理功能改善。
