Nunery W R, Cepela M A, Heinz G W, Zale D, Martin R T
Department of Ophthalmology, Indiana University, Indianapolis.
Ophthalmic Plast Reconstr Surg. 1993 Jun;9(2):90-5. doi: 10.1097/00002341-199306000-00003.
The most popular technique of placement of an anophthalmic spherical implant was first described by Frost and Lange in 1886, and has remained essentially unchanged since that time. That technique incorporates imbrication of recti muscles over an 18 mm spherical implant, and purse stringing of conjunctiva and Tenon's fascia in a single layered closure. The Frost-Lange technique has led to previously reported extrusion rates as high as 11.3%. The technique is also associated with superotemporal implant migration and poor prosthetic motility. Our technique modification includes suturing recti muscles independently to a 20 mm spherical implant reinforced with autogenous fascia or preserved sclera. We then close Tenon's fascia and conjunctiva independently as separate layers. The extrusion rate for our patients during a 10 year study period was 0.84% (1 of 119). We found no implant migration, no painful socket, and prosthetic motility was good. We recommend our technique modification to replace the traditional Frost-Lange technique.
无眼球球形植入物最常用的植入技术最早由弗罗斯特（Frost）和兰格（Lange）于1886年描述，自那时以来基本保持不变。该技术包括在一个18毫米的球形植入物上重叠直肌，以及在单层闭合中对结膜和眼球筋膜进行荷包缝合。弗罗斯特 - 兰格技术导致先前报道的植入物挤出率高达11.3%。该技术还与植入物颞上移位和义眼活动不良有关。我们的技术改进包括将直肌分别缝合到一个用自体筋膜或保存的巩膜加固的20毫米球形植入物上。然后我们将眼球筋膜和结膜作为单独的层分别闭合。在一项为期10年的研究期间，我们患者的植入物挤出率为0.84%（119例中的1例）。我们没有发现植入物移位，没有疼痛性眼窝，并且义眼活动良好。我们建议用我们的技术改进来取代传统的弗罗斯特 - 兰格技术。
