Christmas N J, Gordon C D, Murray T G, Tse D, Johnson T, Garonzik S, O'Brien J M
Bascom Palmer Eye Institute, University of Miami School of Medicine, Fla 33136, USA.
Arch Ophthalmol. 1998 Sep;116(9):1199-203. doi: 10.1001/archopht.116.9.1199.
Many different types of orbital implants have been used after enucleation. Associated complications such as infection, exposure, extrusion, and ptosis have been reported.
To describe 342 consecutive patients who underwent enucleation with intraorbital implant placement at the Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Fla, during the past 10.5 years and their complications.
Medical records of orbital implantation after enucleation performed by 3 surgeons (T.G.M., D.T., and T.J.) were reviewed retrospectively. Demographic data, ocular diagnosis, previous ophthalmic surgery, implant characteristics, and postoperative complications were described in all patients, with a minimum of 2 months' follow-up, using a standardized format.
Eleven complications were observed in 7 patients. Four patients had exposure of the implant, and 1 of these patients developed associated infection. Three patients developed pyogenic granulomas, 1 patient developed ptosis requiring surgical intervention, 1 patient had long-term orbital discomfort, and 1 patient developed an inclusion cyst.
Complications after enucleation with orbital implant placement are minimal and are observed with both porous and acrylic orbital implants.
眼球摘除术后已使用多种不同类型的眼眶植入物。已报道了诸如感染、暴露、脱出和上睑下垂等相关并发症。
描述在过去10.5年期间于佛罗里达州迈阿密市迈阿密大学医学院巴斯科姆·帕尔默眼科研究所接受眼球摘除并植入眶内植入物的342例连续患者及其并发症。
回顾性分析由3位外科医生（T.G.M.、D.T.和T.J.）进行的眼球摘除术后眼眶植入的病历。使用标准化格式描述所有患者的人口统计学数据、眼部诊断、既往眼科手术、植入物特征和术后并发症，随访时间至少为2个月。
7例患者出现11种并发症。4例患者植入物暴露，其中1例患者发生相关感染。3例患者出现化脓性肉芽肿，1例患者发生需要手术干预的上睑下垂，1例患者有长期眼眶不适，1例患者出现包涵囊肿。
眼球摘除并植入眼眶植入物后的并发症极少，多孔和丙烯酸眼眶植入物均会出现此类并发症。
