implantation of hydroxyapatite orbital orbital and postoperative ocular exposure analysis（植入羟基磷灰石的轨道和术后眼部接触分析）.docVIP

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implantation of hydroxyapatite orbital orbital and postoperative ocular exposure analysis（植入羟基磷灰石的轨道和术后眼部接触分析）.doc

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implantation of hydroxyapatite orbital orbital and postoperative ocular exposure analysis（植入羟基磷灰石的轨道和术后眼部接触分析）

Implantation of hydroxyapatite orbital orbital and postoperative ocular exposure Analysis [Keywords] HA orbital implant surgery, postoperative complications, exposed 1 objects and methods 1.1 Objects 2004/2005 to carry out clinical cases since the HA orbital implantation 38 of 38 cases, including 31 males and 31, 7 females, seven, aged 19 to 72 (average 31.7 years old. Ⅰ implantation 26 cases , are eye injuries caused by damage to the eye, no light perception, visual acuity hopeless, eyeball atrophy in eight cases which have occurred implantation Ⅱ 12 cases, for in him who underwent enucleation, absolute glaucoma cases of corneal perforation in 4 cases, 1 case 20 years ago due to retinoblastoma enucleation, has occurred the conjunctival sac flinch, lower eyelid laxity in his hospital with a two-line HA orbital implantation, failed twice to remove ocular, conjunctival sac narrow, lower eyelid mild valgus. 1.2 Methods A type: No wrapped HA orbital implant is implanted directly into the routine after enucleation, with line HA orbital firmly implanted into the muscle cone, four rectus preset suture sutures platform eye ligation of twenty-two, so the the rectus fixed on the HA. 12 cases were 12 cases the implantation I and II implantation using the above method. difference lies in Ⅱ implantating need to level incision bulbar conjunctiva and fascia tissue, so rotating eye patients, looking for muscle contraction, peel and free muscle fibers do preset suture, separating the muscle cone cavity gap type B: since the body sclera HA artificial eye the stage double coverage (B1 type or eye content enucleation the scleral shell implanted joint HA orbital (B2) are Ⅰ implantation using autologous sclera Ⅰ implantation atrophy B1 type 26 cases, 8 cases of eye: do within the rectus preset seam line and cut, conventional gouge in addition to eye, without the the line orbital acupressure deep muscle cone, the medial rectus suture to the original scleral bit. suture s