Hunter P D, Baker S S
Section of Craniofacial Surgery, Neurosurgeon Mercy Group, Oklahoma City, Okla.
Arch Otolaryngol Head Neck Surg. 1994 Aug;120(8):835-9. doi: 10.1001/archotol.1994.01880320037009.
To evaluate the effects of retro-orbital intramuscular cone injection of fat in the treatment of posttraumatic enophthalmos in both patients with intact globes and those patients who have had globes removed.
Case series.
Private practice involving an otolaryngologist and an ophthalmologist.
Three groups of patients were treated: group 1 included those patients with an intact globe; group 2, patients with an orbital implant following enucleation; and group 3, patients with no orbital implant following enucleation.
Autogenous fat was harvested from the abdomen using a microsuction lipectomy technique. The fat was injected into the intramuscular cone in the retrobulbar or retroimplant space using a 14-gauge needle.
Sustained improvement of enophthalmos measured by Hertel's exophthalmometry in those patients with an intact globe. Subjective appearance of prosthesis by physician and patient were used for end points in patients whose globes were removed.
In group 1, all patients were able to maintain a correction to within 1 mm of the normal eye. In groups 2 and 3, all patients had a subjective improvement in appearance, but they had development of enophthalmos if the prosthesis was decreased in size. Seven patients (64%) required multiple injections.
Retro-orbital injection of fat autografts allows correction of persistent posttraumatic enophthalmos.
评估眼眶后肌锥内注射脂肪对眼球完整患者和已摘除眼球患者创伤后眼球内陷的治疗效果。
病例系列。
由一名耳鼻喉科医生和一名眼科医生参与的私人诊所。
三组患者接受治疗：第1组包括眼球完整的患者；第2组，眼球摘除后植入眼眶假体的患者；第3组，眼球摘除后未植入眼眶假体的患者。
采用微吸抽脂技术从腹部采集自体脂肪。使用14号针头将脂肪注射到球后或假体后间隙的肌锥内。
通过Hertel眼球突出计测量，第1组所有患者的眼球内陷均持续改善至与健眼相差1毫米以内。对于眼球已摘除的患者，以医生和患者对假体外观的主观评价作为终点指标。
在第1组中，所有患者均能将眼球位置矫正至与健眼相差1毫米以内。在第2组和第3组中，所有患者的外观均有主观改善，但如果假体尺寸减小，眼球内陷会复发。7例患者（64%）需要多次注射。
眼眶后自体脂肪注射可矫正持续性创伤后眼球内陷。
