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目的 评估眼内容物摘除术后义眼座 期植入改良方法的临床效果。方法 2 8例因各种原因导致失明、疼痛患者 ,行眼内容物摘除术后 期眼座植入 ,在后巩膜松驰切口的基础上进行改良 ,将后巩膜切口充分扩大 ,使义眼座能够顺利通过后巩膜直接进入肌锥内 ,同时使后巩膜和前巩膜都成为义眼座的前层。术后随访期 6个月。结果 2 8例接受了 18mm~ 2 2 mm义眼座植入术术后 1例术眼疼痛持续 2个月 ,1例术后上睑沟加深 ,无 1例出现假体暴露 ,术后运动功能良好 ,,术后义眼座有钻孔的病例 ,运动功能尤佳。结论 此术式的优势超过以往的手术方法 ,是目前义眼座植入术中最为安全可靠方法
Objective To evaluate the clinical effect of improved methods for implantation of phalanges after ocular contents excision. Methods Twenty-eight patients with blindness and pain due to various reasons were treated with ocular implantation at the end of ocular content excision. The posterior scleral incision was modified based on the incision. The posterior scleral incision was fully enlarged, Can be successfully passed directly into the posterior scleral muscle cone, while the posterior sclera and anterior sclera have become the front seat of the eyelid. The follow-up period was 6 months. RESULTS: Twenty-eight patients underwent eyelid implantation 18mm ~ 22mm after surgery. One patient had pain in the operation eye for 2 months. One patient had an enlarged upper eyelid. There was no prosthesis exposure or postoperative motor function Good, postoperative eye prosthesis has bored cases, particularly good motor function. Conclusion The superiority of this technique surpasses the previous surgical methods and is the safest and most reliable method for implanting ocular prosthesis