Tucker S M, Sapp N, Collin R
Department of Surgery, Southern Illinois University, Springfield, USA.
Br J Ophthalmol. 1995 Jul;79(7):667-71. doi: 10.1136/bjo.79.7.667.
Congenital anophthalmos is a rare condition in which intervention at an early age can stimulate orbital expansion and maximise facial symmetry. Much is still unknown, however, regarding the degree of soft tissue and bony orbital growth achieved using the orbital expanders presently available.
A retrospective review of 59 congenitally anophthalmic orbits in 42 patients was carried out.
The soft tissue and bony orbital expansion achieved using serial solid shapes is reported, and experience with hydrophilic expanders and inflatable silicone expanders is reviewed.
Although serially fitted solid shapes in the orbit lead to increased expansion of orbital soft tissue and bone compared with no orbital implant, further orbital tissue enlargement is required. The inflatable silicone expander may allow more rapid and extensive orbital tissue expansion, but design changes are needed to achieve this.
先天性无眼球是一种罕见病症，早期干预可刺激眼眶扩张并使面部对称性最大化。然而，关于使用目前可用的眼眶扩张器所实现的软组织和眼眶骨生长程度，仍有很多未知之处。
对42例患者的59个先天性无眼球眼眶进行回顾性研究。
报告了使用系列实心形状实现的软组织和眼眶骨扩张情况，并回顾了使用亲水性扩张器和可充气硅胶扩张器的经验。
尽管与不植入眼眶假体相比，在眼眶中系列安装实心形状可导致眼眶软组织和骨的扩张增加，但仍需要进一步扩大眼眶组织。可充气硅胶扩张器可能使眼眶组织更快速、更广泛地扩张，但需要进行设计改进才能实现这一点。
