Hayat Nausheen, Jan Saad, Atiq Natasha, Cheema Alyscia
Dr. Nausheen Hayat, FCPS, MRCSEd Opth (UK), Consultant Ophthalmologist, Faculty Member, Department of Ophthalmology, Jinnah Post Graduate Medical Centre, Karachi, Pakistan.
Dr. Saad Jan, MBBS, MD. Post Graduate Resident, Department of Ophthalmology, Jinnah Post Graduate Medical Centre, Karachi, Pakistan.
Pak J Med Sci. 2021 Mar-Apr;37(2):426-431. doi: 10.12669/pjms.37.2.3209.
To evaluate the outcomes of secondary autologous dermis-fat graft as an orbital implant in anophthalmic sockets.
In this prospective study, which was conducted at Jinnah Post Graduate Medical Centre, Karachi, between January 2015 and January 2020, we evaluated 12 patients between the ages of four and 60 years. Most of the adults were victims of trauma, whereas children were known cases of retinoblastoma or trauma and all underwent enucleation. All of them were primarily treated elsewhere and not offered primary orbital implants. We performed autologous dermis-fat graft as an orbital implant in these patients harvesting graft from gluteal region and followed them up to look for complications.
Out of 12 patients two went into failure, while rest of the patients showed successful outcome. All patients underwent successful surgery. Initially, a silicon conformer was placed, which was later on replaced with artificial prosthetic eye.
Regardless of the small sample size, this procedure proved to be a safe and effective method for augmenting orbital volume in anophthalmic sockets in children and adults.
评估二期自体真皮脂肪移植作为无眼球眼眶植入物的效果。
在2015年1月至2020年1月于卡拉奇真纳研究生医学中心进行的这项前瞻性研究中，我们评估了12例年龄在4岁至60岁之间的患者。大多数成年人是创伤受害者，而儿童是已知的视网膜母细胞瘤或创伤病例，所有患者均接受了眼球摘除术。他们均在其他地方接受过初步治疗，未植入一期眼眶植入物。我们在这些患者中进行了自体真皮脂肪移植作为眼眶植入物，从臀区采集移植物，并对他们进行随访以寻找并发症。
12例患者中有2例失败，其余患者显示出成功的结果。所有患者均成功进行了手术。最初放置了硅塑形器，后来更换为人工义眼。
尽管样本量较小，但该手术被证明是一种安全有效的方法，可增加儿童和成人无眼球眼眶的容积。
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