Division of Oculoplastic and Orbital Surgery, Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Medical Center, New York, New York, U.S.A.
Department of Ophthalmology, Manhattan Eye, Ear, and Throat Hospital, New York, New York, U.S.A.
Ophthalmic Plast Reconstr Surg. 2019 Mar/Apr;35(2):e39-e41. doi: 10.1097/IOP.0000000000001309.
Buphthalmos can create treatment challenges for socket rehabilitation following enucleation due to compression atrophy and mechanical stretching of adnexal tissues. The authors report a case demonstrating a surgical technique for simultaneous volume augmentation of the anophthalmic socket, expansion of the conjunctival fornix, and repair of lower eyelid retraction in a patient with history of buphthalmos and a previously placed 22 mm orbital implant at the time of enucleation. The authors utilized a single-stage, bipedicle dermis fat graft. Postoperatively, the patient demonstrated improvement in lower eyelid position, lower eyelid volume, improved prosthesis fit, improved three-dimensional projection of the ocular prosthesis, and an improvement in the superior sulcus deformity. Bipedicle dermis fat grafts are an option for surgical rehabilitation of the anophthalmic socket when orbital volume deficiency, conjunctival fornix contracture, and eyelid retraction are present and an adequately sized orbital implant has previously been placed.
牛眼症可导致眼眶内容物剜除术后的义眼窝治疗面临挑战，这是由于附属组织的压迫性萎缩和机械性拉伸所致。本文报道了一例牛眼症患者的病例，该患者曾接受过眼眶内容物剜除术并植入 22mm 眶内植入物，术者采用一期双蒂真皮脂肪瓣技术，同期进行义眼窝容积增大、结膜穹窿扩张和下眼睑退缩矫正。术后，患者的下眼睑位置、下眼睑体积、义眼适配度、眼假体的三维投影以及上睑沟畸形均得到改善。当存在眼眶容积不足、结膜穹窿挛缩和眼睑退缩，且先前已植入大小合适的眶内植入物时，双蒂真皮脂肪瓣是义眼窝外科修复的一种选择。
