Baylis H I, Call N B
Ophthalmology. 1979 Sep;86(9):1647-54. doi: 10.1016/s0161-6420(79)35351-9.
The combination of enucleation plus irradiation often leads to a significant orbital volume loss and severe enophthalmos. Surgery for enophthalmos correction involves the replacement of intraorbital volume with autogenous or alloplastic material, either subperiorbitally, or in the muscle cone. Subperiorbital implants technically are easiest to perform, but implant absorption, migration, and other complications can be cosmetically unacceptable. Alternatively, approaching the muscle cone through a lateral subperiorbital dissection avoids trauma to the irradiated conjunctiva; allows easy access to the muscle cone for implantation of silicone spheres glass beads, or RTV silicone; and provides an excellent cosmetic result.
眼球摘除术加放射治疗常常会导致眼眶容积显著减小以及严重的眼球内陷。矫正眼球内陷的手术包括使用自体或异体材料在眶上或肌锥内替代眶内容积。眶上植入术在技术上操作最简单，但植入物吸收、移位及其他并发症在美容方面可能无法接受。另外，通过眶上外侧切开进入肌锥可避免损伤受照射的结膜；便于进入肌锥植入硅胶球、玻璃珠或室温硫化硅橡胶；并且能获得极佳的美容效果。
