Mourits Daphne L, Remmers Jelmer S, Tan Stevie H, Moll Annette C, Hartong Dyonne T
Department of Ophthalmology, VU University Medical Center, Amsterdam.
Jelmer Remmers Ocularist, The Netherlands.
Ophthalmic Plast Reconstr Surg. 2018 Jul/Aug;34(4):390-392. doi: 10.1097/IOP.0000000000001113.
To introduce a novel technique to design individually customized conformers for postenucleation sockets with dermis fat implants.
We use a 3-dimensional scan of the frontal face/orbit and eyelid contour to design an individualized conformer. This polymethylmetacrylate printed conformer is adapted to patients' socket, palpebral fissures, horizontal eyelid aperture, curvature of the eyelids, and mean diameter of patients' contralateral eye. Sutures through holes in the inferior part of the conformer and in the extension can be placed to fixate the conformer and anchor fornix deepening sutures.
A correct fitting conformer can be printed and attached to the socket and eyelids. The shape of this conformer can be used subsequently postsurgically to design the ocular prosthesis.
Presurgical planning is important to anticipate for a functional socket to adequately fit an artificial eye. The presented technique using 3-dimensional imaging, designing, and printing promises to prevent conformer extrusion and forniceal shortening.
介绍一种为植入真皮脂肪的眼球摘除术后眼窝设计个性化定制贴合器的新技术。
我们使用正面面部/眼眶和眼睑轮廓的三维扫描来设计个性化贴合器。这种聚甲基丙烯酸甲酯打印的贴合器适合患者的眼窝、睑裂、水平睑裂孔径、眼睑曲率以及患者对侧眼睛的平均直径。通过贴合器下部和延伸部分的孔穿线缝合，可用于固定贴合器并锚定穹窿加深缝线。
可以打印出合适的贴合器并将其附着于眼窝和眼睑。这种贴合器的形状随后可在手术后用于设计眼假体。
术前规划对于预期功能性眼窝以充分适配义眼很重要。所介绍的使用三维成像、设计和打印的技术有望防止贴合器挤出和穹窿缩短。
