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Open Access Article

International Journal of Clinical Research. 2025; 9: (4) ; 44-46 ; DOI: 10.12208/j.ijcr.20250182.

Application research of in hydroxyapatite orbital implantation
自体巩膜移植在羟基磷灰石义眼台植入中的应用研究

作者: 伍立科 *, 朱同乐, 李基强, 张小千

贵州医科大学第二附属医院眼科 贵州凯里

*通讯作者: 伍立科,单位:贵州医科大学第二附属医院眼科 贵州凯里;

发布时间: 2025-04-30 总浏览量: 34

摘要

目的 将自体巩膜移植在义眼台植入术中的应用后观察其手术效果及并发症。方法 收集2022年 1 月 1 日至2024年 2月 1 日就诊于我科并行义眼台植入时利用自体巩膜移植覆盖的患者35例,术中均1期植入义眼台后采用自体巩膜移植覆盖义眼台。随访6个月,观察手术效果。结果 35例患者伤口均愈合良好,结膜无裂开,结膜囊成形好,义眼台无暴露或移位,眼眶饱满,双眼对称,患者满意度均较高。结论 自体巩膜移植在义眼台植入术中的应用手术方法简单,术后义眼台不易暴露,无需购买昂贵异体巩膜,无术后排斥反应,是一种优良的手术方式。

关键词: 自体巩膜移植;羟基磷灰石义眼台;手术效果

Abstract

Objective To observe the surgical effect and complications of autologous sclera transplantation in artificial eye implantation surgery.
Methods A total of 35 patients who received parallel artificial eye implantation in our department from January 1, 2022 to February 1, 2024 and were covered with autologous sclera transplantation were collected. During the surgery, all patients underwent one-stage implantation of artificial eye implantation and were covered with autologous sclera transplantation. Follow up for 6 months to observe the surgical effect.
Results All 35 patients had good wound healing, no conjunctival rupture, good conjunctival sac formation, no exposure or displacement of the artificial eye socket, full eye sockets, symmetrical eyes, and high patient satisfaction.
Conclusion   The application of autologous sclera transplantation in the implantation of artificial eye socket is a simple surgical method, and the artificial eye socket is not easily exposed after surgery. There is no need to purchase expensive allogeneic sclera, and there is no postoperative rejection reaction. It is an excellent surgical method.

Key words: Orbital implantation; Hydroxyapatite; Surgical success rate

参考文献 References

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[2] 刘绍云,杨军,任敏荣,等. 眼内容剜除术61例Ⅰ期羟基磷灰石义眼座植入术分析[J]. 中国实用眼科杂志,2014,32 (06): 779-781.

[3] 刘畅,窦泽夏,彭暖,等. 角膜白斑患者行角膜层间染色术的美容效果观察[J]. 中华眼科杂志,2020,56(06):465-472.

[4] Zhou H, Zhu C, Chen K, Zheng X. The effects of hydroxyapatite implantation with the autogenous sclera cap: A cohort study. Medicine (Baltimore). 2022 Jul 29;101(30): e29519. 

[5] Rokohl AC, Kopecky A, Trester M, Wawer Matos PA, Pine KR, Heindl LM. Post-enucleation socket syndrome-a novel pathophysiological definition. Graefes Arch Clin Exp Ophthalmol. 2022 Aug;260(8):2427-2431. 

[6] Xu QH, Li Y, Yu JH, Liao HF. Biological role of postoperative low level laser therapy in preventing hydroxyapatite orbital implantation exposure: A case report. Exp Ther Med. 2021 Apr;21(4):314. doi: 10.3892/etm.2021.9745. Epub 2021 Feb 3. PMID: 33717257; PMCID: PMC7885064.

引用本文

伍立科, 朱同乐, 李基强, 张小千, 自体巩膜移植在羟基磷灰石义眼台植入中的应用研究[J]. 国际临床研究杂志, 2025; 9: (4) : 44-46.