目的观察自体巩膜重叠覆盖羟基磷灰石义眼台植入的临床效果。方法35例(35眼)眼内容物摘除术后行一期羟基磷灰石义眼台植入,术中切除角膜,沿颞上、鼻下两象限自前向后剪开巩膜,达后极部将巩膜一分为二,并切断视神经,义眼台部分植入肌圆锥,部分包在巩膜壳内,前部有二层交错重叠的自体巩膜覆盖。结果术后随访1～5年,伤口均愈合良好,眶区饱满,双眼对称,义眼活动度好,无眼台暴露脱出发生。结论自体巩膜重叠覆盖羟基磷灰石义眼台植入,术后并发症少,可有效防止眼台暴露。 Objective To observe the clinical effect of self-sclera overlap covered hydroxyapatite orbital implantation. Methods A total of 35 eyes (35 eyes) underwent ocular hydroxyapatite implantation underwent intraocular excision. The cornea was excised during operation. The sclera was excised from anteroposterior to posterior superior quadrant along the superior and inferior nasal quadrants. The sclera is divided into two, and cut off the optic nerve, part of the eye implants transplanted into the muscle cone, partially wrapped in the scleral shell, the front has two overlapping staggered autologous scleral covering. Results The patients were followed up for 1 to 5 years. All the wounds healed well, the orbital area was full, the eyes were symmetrical, the activity of the eye was good, and no exposure to ocular surface occurred. Conclusion Self-sclera overlap covered with hydroxyapatite artificial eye implantation, less postoperative complications, can effectively prevent exposure of the eye.