Spoor T C, Ramocki J M, Cowden J W
Kresge Eye Institute, Department of Ophthalmology, Wayne State University School of Medicine, Detroit, Michigan 48201.
Am J Ophthalmol. 1989 Dec 15;108(6):704-8. doi: 10.1016/0002-9394(89)90865-9.
We repaired four eyes in four patients with impending perforation using a vascular periosteal-temporalis fascia pedicle flap continuous to the periorbita of the orbital wall. Two eyes with extruding keratoprostheses, one eye with severe ocular surface dysfunction and a perforated, infected keratoplasty, and one eye with scleral ectasia were successfully reconstructed. Excellent visual acuity (20/25) was attained in one eye and functional visual acuity (20/100) was maintained in another. Structural integrity was maintained in all eyes. A vascularized flap was an excellent source of tissue for reconstructing eyes with impending perforation and scleral melting.
我们使用与眶壁眶周相连的带血管骨膜-颞肌筋膜蒂瓣修复了4例有即将穿孔风险患者的4只眼。2例角膜移植片脱出患者、1例有严重眼表功能障碍且角膜移植穿孔并感染患者以及1例巩膜扩张患者的眼睛均成功重建。1只眼获得了极佳视力（20/25），另1只眼维持了功能性视力（20/100）。所有眼睛的结构完整性均得以维持。带血管化瓣是用于重建有即将穿孔和巩膜融解风险眼睛的极佳组织来源。
