蔡丹瑞 邢瑶 王文菁 李婷 柏凌 熊全臣 许珉 刘子瑶

    [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。

    [關键词]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

    [中图分类号]R779.6? ? [文献标志码]A? ? [文章编号]1008-6455(2024)06-0045-03

    Surgical Treatment of Lower Eyelid Ectropion Associated with Conjunctival Sac Malformation after Enucleation

    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 Affiliated Hospital of Xi'an Jiaotong University， Xi'an 710004， Shaanxi， China )

    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 ......