Lee S Y, Kim H Y, Kim S J, Kang S J
Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
Ophthalmic Surg Lasers. 1997 May;28(5):428-31.
Homologous sclera and autologous fascia lata have been accepted as common wrapping materials for hydroxyapatite implantation; however, various problems have been observed, such as the risk of transmittable diseases such as AIDS or hepatitis. This report details the use of cadaver dura mater to wrap hydroxyapatite implants. For 73 eyes of 73 patients with hydroxyapatite implantation, cadaver dura mater was used to wrap the hydroxyapatite after enucleation or secondary implantation. Of the 73 patients, 20 had conjunctival erosion; however, all of the patients but 1 healed spontaneously within an average of 22 days. Only 1 of the 73 patients progressed to implant exposure requiring a dermis graft. The authors suggest that cadaver dura mater is a suitable wrapping material for hydroxyapatite implantation.
同种异体巩膜和自体阔筋膜已被公认为羟基磷灰石植入的常用包裹材料；然而，已观察到各种问题，如艾滋病或肝炎等传染病的传播风险。本报告详细介绍了使用尸体硬脑膜包裹羟基磷灰石植入物的情况。对于73例接受羟基磷灰石植入的患者的73只眼，在眼球摘除或二期植入后，使用尸体硬脑膜包裹羟基磷灰石。在这73例患者中，20例出现结膜糜烂；然而，除1例外，所有患者均在平均22天内自愈。73例患者中只有1例进展为植入物暴露，需要进行真皮移植。作者认为尸体硬脑膜是羟基磷灰石植入的合适包裹材料。
