Putterman A M, Scott R
Arch Ophthalmol. 1977 Jul;95(7):1221-8. doi: 10.1001/archopht.1977.04450070119011.
A technique to reconstruct totally contracted sockets forms spacious, deep ocular fornices to accommodate ocular prostheses. Fixation of the midperiphery of mucous-membrane-lined, custommade conformers to the superior and inferior orbital rims secures the posterior periphery of the conformer deep in the orbit. The method restores the normal anatomy of the ocular fornices that not only extends to the orbital rims but also penetrates deeply into the orbit along its roof and floor. The procedure contrasts with conventional, frequently unsuccessful methods of socket reconstruction that form fornices only to the superior and inferior orbital rims without extending posteriorly into the orbit. Using this technique, we reconstructed deep, spacious sockets in five patients with serious socket contracture, allowing the patients to retain cosmetically acceptable artificial eyes. The principles advocated apply to all contracted sockets.
一种重建完全挛缩眼窝的技术可形成宽敞、深邃的眼穹窿，以容纳眼假体。将定制的内衬黏膜的塑形器中周缘固定于眶上缘和眶下缘，可将塑形器的后周缘固定于眼眶深部。该方法可恢复眼穹窿的正常解剖结构，不仅延伸至眶缘，还沿眶顶和眶底深入眼眶。该手术与传统的、常不成功的眼窝重建方法不同，传统方法仅在眶上缘和眶下缘形成眼穹窿，而不向后延伸至眼眶。使用该技术，我们为5例严重眼窝挛缩患者重建了深邃、宽敞的眼窝，使患者能够保留外观可接受的义眼。所倡导的原则适用于所有挛缩眼窝。
