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目的探讨眼座置换术的适应证、手术方式,评价其安全性和有效性。方法对23例23眼眼座植入术后发生严重并发症的患者行眼座置换术,术后门诊随访6m,对患者临床资料及门诊随访结果进行统计分析。结果眼座置换的原因为眼座暴露12例,上眶区凹陷3例,感染3例,结膜窦道3例,眼座移位1例,单纯眼座材质问题1例。12例患者接受眼座取出同期HA眼座植入术,11例患者行眼座取出Ⅱ期HA眼座植入术。所有患者术后眼窝凹陷完全矫正,1例患者结膜窦道复发,3例患者术后存在结膜囊狭窄。结论眼座暴露是行眼座置换术的主要原因;眼座置换术是处理眼座植入术后严重并发症的有效方法之一。
Objective To investigate the indications, surgical methods of eye replacement and evaluate its safety and effectiveness. Methods Twenty - three patients with serious complications after implantation of ocular restorations were treated with replacement of seat. After follow - up for 6 months, the clinical data and outpatient follow - up results were analyzed statistically. Results The causes of ocular replacement were 12 cases of ocular exposure, 3 cases of supraorbital depression, 3 cases of infection, 3 cases of conjunctival sinus, 1 case of ocular displacement and 1 case of simple ocular material. Twelve patients underwent eyseal astigmatism during the same period of eyelid removal and 11 during eyelid replacement. All patients had complete correction of the orbital recession, one patient had recurrent conjunctival sinus, and three had conjunctival stenosis after operation. Conclusion Ocular exposure is the main reason for ocular replacement. Ocular replacement is one of the most effective methods to treat serious complications after occipital implantation.