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目的 :研究眼内容剜除后硅海绵填充能否最大限度地增加义眼的活动度 ,降低植入物的排出机会和改善外观。方法 :为 17例患眼行眼内容剜除 ,巩膜腔内硅海绵填充术 ,术后 3周安装义眼。结果 :随访 16例 1~ 18个月 ,未发现排斥反应及其它术后并发症。义眼活动度内、外转各 30 °4例 ,2 5°~ 2 0 °9例 ,<2 0 °2例 ,最低 15°,美容满意 15例。结论 :眼内容剜除硅海绵填充术可以极大限度地增加义眼活动度 ,避免“眼窝综合征” ,植入物性能稳定。
PURPOSE: To investigate whether silicon sponge padding can maximize the activity of the eye, reduce the chances of implants to be ejected, and improve the appearance of the eye. Methods: Seventeen patients underwent ocular debridement and silicone sponge implantation in the scleral cavity. Three weeks after operation, prosthetic eyes were installed. Results: Follow-up of 16 cases from 1 to 18 months did not find any rejection and other postoperative complications. The degree of eye movement, the outer rotation of 30 ° 4 cases, 2 5 ° ~ 2 0 ° 9 cases, <2 0 ° 2 cases, the lowest 15 °, cosmetic satisfaction in 15 cases. CONCLUSIONS: The ocular contents of silicone sponge augmentation can greatly increase the degree of eyelid movement, avoid “orbital syndrome” and have stable implant performance.