[1]蔡丹瑞,邢 瑶,王文菁,等.手术治疗眼球摘除术后结膜囊畸形的下睑外翻[J].中国美容医学,2024,(6):45-47.
 CAI Danrui,XING Yao,WANG Wenjing,et al.Surgical Treatment of Lower Eyelid Ectropion Associated with Conjunctival Sac Malformation after Enucleation?/html>[J].Medical Aesthetics and Beauty,2024,(6):45-47.
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手术治疗眼球摘除术后结膜囊畸形的下睑外翻()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年6期
页码:
45-47
栏目:
出版日期:
2024-05-31

文章信息/Info

Title:
Surgical Treatment of Lower Eyelid Ectropion Associated with Conjunctival Sac Malformation after Enucleation?/html>
文章编号:
1008-6455(2024)06-0045-03
作者:
蔡丹瑞1 邢 瑶1 王文菁1 李 婷1 柏 凌1 熊全臣1 许 珉2 刘子瑶1
(西安交通大学第二附属医院 1. 眼科;2.耳鼻喉科 陕西 西安 710004 )
Author(s):
CAI Danrui1 XING Yao1 WANG Wenjing1 LI Ting1 BAI Ling1 XIONG Quanchen1 XU Min2 LIU Ziyao1
( 1.Department of Ophthalmology, 2.Department of ENT, the Second Affi liated Hospital of Xi’an Jiaotong University, Xi’an 710004, Shaanxi, China )
关键词:
结膜囊畸形结膜囊成形下穹窿下睑外翻眼球摘除术矫正眼眶凹陷
Keywords:
conjunctival sac malformation conjunctival sac plasty lower fornix lower eyelid ectropion enucleation correct orbital depression
分类号:
R779.6
文献标志码:
A
摘要:
目的:回顾分析治疗眼球摘除术后结膜囊畸形的下睑外翻这类手术的关键技术。方法:回顾性分析2015年3月-2017年 12 月在笔者医院接受手术治疗的眼球摘除术后结膜囊畸形的下睑外翻患者8例(8只眼),所有患者仅行针对结膜囊畸形的手 术矫正,而未采取针对下睑外翻常用的下睑全层楔形切除、外侧睑板条锚定、皮瓣法等术式。结果:8例患者均单纯行二期 义眼台植入+结膜囊成形术并穹窿部弧形压管获得了深在、稳定的结膜囊,佩戴义眼片后,下睑缘位置满意,无内外翻。在 无需接受任何下睑外翻矫正措施的情况下获得了满意的下睑形态及功能。结论:眼球摘除术后结膜囊畸形的下睑外翻手术关 键点在于矫正眼眶凹陷,恢复结膜囊正常形态,尤其是加深下穹窿。
Abstract:
Objective The key techniques for the treatment of lower eyelid ectropion with conjunctival sac deformity after enucleation were reviewed. Methods Retrospective analysis of 8 patients (8 eyes) with lower eyelid ectropion due to conjunctival sac malformation after enucleation who received surgical treatment in the author’s hospital from March 2015 to December 2017. All patients only underwent surgical correction for conjunctival sac malformation, but than full-thickness wedge resection of the lower eyelid, lateral eyelid bar anchoring and fl ap method, which are commonly used for the lower eyelid ectropion. Results All 8 patients underwent second-stage eye socket implantation and conjunctival sac plasty surgery with a fornix arc compression tube and obtained a deep and stable conjunctival sac. After wearing ocular prosthesis, the position of the lower eyelid margin was satisfactory, without entropion and ectropion. Satisfactory shape and function of lower eyelid were obtained without any corrective measures for lower eyelid ectropion. Conclusion The key point of surgery for the lower eyelid ectropion associated with the conjunctival sac malformation after enucleation is to correct the orbital depression and restore the normal shape of the conjunctival sac, especially to deepen the lower fornix.
更新日期/Last Update: 2024-06-03