Bunin Lisa S
Private Practice, 1611 Pond Rd #403, Allentown, PA, 18104, USA.
Am J Ophthalmol Case Rep. 2022 Mar 1;26:101462. doi: 10.1016/j.ajoc.2022.101462. eCollection 2022 Jun.
To report the use of cryopreserved amniotic membrane from the umbilical cord (UC) in the reconstruction of a dehisced wound with the additional ability to increase orbital volume, expand superior and inferior fornices, and improve cosmesis following evisceration of a blind, painful, atrophic, sunken eye with ptosis.
Patient developed conjunctival wound dehiscence without implant exposure following evisceration. One month later, reconstruction was performed with UC to cover the defect, increase the orbital volume, and expand orbital fornices to allow placement of a large ocular prosthesis with superior lip for ptosis elevation. Post-operatively, at the 6th week, the socket was healthy and the globe had good movement. At the 7th week, the ocular prosthesis was sized and fitted. At the 8th month, the structural integrity of the socket was maintained with deep fornices, and the patient had excellent cosmetic result with natural appearance and movement of the prosthetic eye.
This case highlights the successful utilization of UC graft to augment soft tissue volume, restore socket structural integrity and increase socket volume, and achieve good cosmesis and ocular motility following evisceration.
报告使用来自脐带的冷冻保存羊膜在裂开伤口重建中的应用，其具有增加眼眶容积、扩大上下穹窿以及改善因失明、疼痛、萎缩、凹陷且伴有上睑下垂的眼球摘除术后美观效果的额外能力。
患者在眼球摘除术后出现结膜伤口裂开但植入物未外露。1个月后，使用脐带进行重建以覆盖缺损、增加眼眶容积并扩大眼眶穹窿，从而能够放置大型眼假体以抬高上睑。术后第6周，眼窝健康，眼球活动良好。第7周，确定眼假体尺寸并进行安装。第8个月，眼窝结构完整性得以维持，穹窿较深，患者的义眼外观自然且活动良好，美容效果极佳。
该病例突出了脐带移植物在增加软组织容积、恢复眼窝结构完整性和增大眼窝容积方面的成功应用，并在眼球摘除术后实现了良好的美容效果和眼球活动度。
