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恶性突眼症又称为促甲状腺性突眼症,目前尚缺乏针对性治疗方法,易导致失明。笔者于1988年以来曾遇二例,在控制原发病因基础上,经颞侧上、下穹隆结膜进入切除眶内部分脂肪垫获得满意效果,现报告如下。手术方法:用1％利多卡因加付肾少许行球后,颞侧眶缘皮肤和结膜下麻醉。平行切开外眦1.0cm,剪断外眦韧带,垂直钝性分离暴露骨膜,沿着上、下穹隆剪开结膜(右眼6—12时,左眼12—6时),分离出颞侧眶壁与肌肉间隙,剪除部分在此间隙的脂肪,然后在外直肌止端做牵引缝线,将眼球拉向鼻侧,分别呈放射状剪
Malignant exophthalmos, also known as thyrotoxicosis, is still lack of targeted treatment, easily lead to blindness. The author has encountered in two cases since 1988, based on the control of the primary cause, by the temporal and inferior vault conjunctiva into the orbital part of the fat pad to obtain satisfactory results, are as follows. Surgical methods: with 1% lidocaine plus pay a little ball of the kidney, temporal orbital margin of the skin and subconjunctival anesthesia. Parallel to cut the outer 眦 1.0cm, cut the ligament of the outer ligament, the vertical separation of the periosteum exposed, along the upper and lower dome cut conjunctiva (right eye 6-12 hours, left eye 12-6 hours), isolated temporal orbital Wall and muscle space, cut off part of the fat in this gap, and then in the lateral rectus abdominisus to do traction suture, the eye pulled to the nasal side, respectively, was radial shear