眼科 ›› 2015, Vol. 24 ›› Issue (1): 59-61.doi: DOI:10.13281/j.cnki.issn.1004-4469.2015.01.016

• 论著 • 上一篇    下一篇

未成年人摘除眼球后眼眶的发育

康焕君  张印博  贾金辰  白萍  宋秀君   

  1. 054001 邢台,河北省眼科医院(康焕君、张印博、贾金辰、白萍);050051 石家庄,河北医科大学第三附属医院眼科(宋秀君)
  • 收稿日期:2014-03-25 出版日期:2015-01-25 发布日期:2015-01-27
  • 通讯作者: 康焕君,Email:khjzyb@126.com E-mail:khjzyb@126.com

Orbital growth after unilateral enucleation without an orbital implant in children

KANG Huan-jun1, ZHANG Yin-bo1, JIA Jin-chen1, BAI Ping1, SONG Xiu-jun2.   

  1. Department of Ophthalmology, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
  • Received:2014-03-25 Online:2015-01-25 Published:2015-01-27
  • Contact: KANG Huan-jun, Email: khjzyb@126.com E-mail:khjzyb@126.com

摘要: 的 探讨未成年人摘除眼球未植入义眼台的眼眶发育情况。设计 回顾性病例系列。研究对象 41例未成年时行单眼眼球摘除患者。方法 回顾分析患者冠状位眼眶CT扫描影像资料,测量患侧及健侧的眼眶入口面积。主要指标 眼眶入口面积。结果 摘除眼球侧和健侧眼眶入口面积分别为(10.67±1.41)mm2和(12.03±1.41)mm2(P=0.000)。0~6岁摘除眼球组和7~12岁摘除眼球组两侧眼眶入口面积的差别均有统计学意义(P=0.000、0.018),13~18岁摘除眼球组二者的差别无统计学意义(P=0.09)。配戴义眼片组和未配戴义眼片组无眼球侧眼眶入口面积与健侧眼眶入口面积差存在统计学差异(P=0.004)。结论 未成年人摘除眼球后影响该侧眼眶生长发育,摘除眼球时的年龄越小影响越大。摘除眼球后配戴义眼片可改善眼眶的发育。(眼科,2015,24: 59-61)

关键词: 眼眶, 眼球摘除术

Abstract:  Objective To evaluate the development of the orbit in patients without eyeball and without orbital implant during minors. Design Retrospective case series. Participants Forty-one cases who had underwent enucleation during minor without orbital implants. Methods the areas of the anophthalmic orbital entrance were measured by CT. Comparisons were made between the anophthalmic and normal sides. Main Outcome Measures Area of the anophthalmic orbital entrance. Results There were significant differences of the area of the anophthalmic orbital entrance (10.67±1.41cm2) between the eyeball-enudeated orbit and the fellow orbit (12.03±1.41cm2) (P=0.000). There were significant differences of the area of the anophthalmic orbital entrance between the eyeball-enudeated orbit and the fellow orbit in the age group of 0~6 years-old and the age group of 7~12 years-old (P=0.000, 0.018) , but no difference in the age group of 13~18 years-old (P=0.09). The difference between the area of the anophthalmic orbital entrance and the area of the fellow orbital entrance is significant difference between weared and without weared the prosthesis group(P=0.004). Conclusion Enucleation during minor can cause orbital growth retardation in the anophthalmic orbit, and the younger the patients had undergone enucleation the more orbital growth retardation. The replacement of the prosthesis with growth is important. (Ophthalmol CHN, 2015, 24: 59-61)

Key words: orbit, enucleation