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目的观察RB眼球摘除并放疗后Ⅱ期义眼座植入的临床效果。方法回顾分析27例RB眼球摘除并放疗后义眼座Ⅱ期植入的临床资料,并观察其疗效。结果27例患者术后眼窝塌陷和义眼运动都得以明显改善和恢复,24眼动度较好,3眼动度较差。追踪随访1月￣5年,无1例复发、感染;2例义眼座暴露,4例上睑板沟轻度凹陷,1例上睑下垂。结论RB眼球摘除并放疗后义眼座Ⅱ期植入可获得良好效果,应尽可能早期手术,并注意手术方法与技巧。
Objective To observe the clinical effect of secondary ocular prosthesis implantation after enucleation of RB and radiotherapy. Methods Retrospective analysis of 27 cases of RB enucleation and radiotherapy after implantation of phacoemulsification Ⅱ clinical data and observe its efficacy. Results In 27 cases, the orbital collapse and eyelid movement were significantly improved and restored. The motion of 24 eyes was better and the motion of 3 eyes was worse. Follow-up 1 month ~ 5 years, no case of recurrence and infection; 2 cases of prosthetic socket exposure, 4 cases of mild trough depression on the tarsal, 1 case of ptosis. Conclusion RB eye enucleation and radiotherapy after implantation of phacoemulsification Ⅱ can get good results, surgery should be as early as possible, and pay attention to surgical methods and techniques.