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立陶宛健康科学大学眼科诊所眼眶内植入术的并发症

Complications of orbital endoimplantation in the Eye Clinic of the Lithuanian University of Health Sciences.

作者信息

Piškinienė Raimonda, Banevičius Mantas

机构信息

Eye Clinic, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Acta Med Litu. 2017;24(2):101-106. doi: 10.6001/actamedica.v24i2.3490.

Abstract

The aim of the study was to analyse the rate of complications of orbital endoimplantation in patients operated from 2002 to 2014 at the Eye Clinic of the Lithuanian University of Health Sciences and to compare it with the results in the literature. Enucleation must be performed very carefully in order to prevent any additional trauma, infection, deformation, and to create an optimal conjunctival socket. However, complications occur despite efforts and qualified surgeons. The most common complications described in the literature are thinning and cysts of the conjunctiva, a foreign body reaction, secretion, symblepharons, fornix deficiency, ptosis, permanent pain, dislocation, migration and protrusion of the implant, a primary or secondary infection, and implant extrusion. From 2002 to 2014, 128 patients underwent orbital endoimplantation surgery at the Eye Clinic. The most common complications were conjunctival erosion (five patients, or 2.9%), cysts (nine patients, or 7%), and implant extrusion (five patients, or 2.9%). The type and rate of complications were very similar to the data in the literature.

摘要

本研究的目的是分析2002年至2014年在立陶宛卫生科学大学眼科诊所接受手术的患者眼眶内植入术的并发症发生率,并将其与文献中的结果进行比较。眼球摘除术必须非常小心地进行,以防止任何额外的创伤、感染、变形,并创造一个最佳的结膜囊。然而,尽管有经验丰富的外科医生努力,并发症仍会发生。文献中描述的最常见并发症是结膜变薄和囊肿、异物反应、分泌物、睑球粘连、穹窿部缺损、上睑下垂、持续性疼痛、植入物脱位、移位和突出、原发性或继发性感染以及植入物挤出。2002年至2014年,128例患者在眼科诊所接受了眼眶内植入术。最常见的并发症是结膜糜烂(5例,占2.9%)、囊肿(9例,占7%)和植入物挤出(5例,占2.9%)。并发症的类型和发生率与文献中的数据非常相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e05/5566948/fadacfc2a842/aml-24-101-g001.jpg

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