眼外伤后二期眼球摘除义眼台植入后自体巩膜溶解原因

目的探讨眼外伤后二期眼球摘除义眼台植入后发生自体巩膜溶解的原因。方法对行眼球摘除患者病历资料进行回顾性总结和分析，根据是否斟眼外伤后一期缝合并在不同时间二期行眼球摘除义眼台植入分成两组，组1为眼外伤后二期眼球摘除义眼台植入164例（164眼）；组2为其余原因眼球摘除义眼台植入352例（352眼）。从一期眼球破裂情况、术后眼球炎症反应、二期眼球摘除原因、术后并发症、术后效果等方面进行分析，比较两组之间发生自体巩膜溶解的差异及可能的原因。结果外伤后二期眼球摘除义眼台植入术后自体巩膜溶解的发生率（8．54％）明显高于其它原因行眼球摘除义眼台植入者（1．99％）（x^2=12．868P〈0．001）。结论推测外伤后二期眼球摘除义眼台植入术后自体巩膜溶解发生的可能原因众多：二次植入的时间、义眼台排斥、多次手术激发了超敏反应及抗原抗体反应、外伤及手术大面积扰动致使眼球筋膜囊瘢痕粘连等。提示我们适时的选择眼球摘除义眼仃植人对预防术后发生自体巩膜溶解有助。，

The reason of self sclera deliquescent after eyeball enucleation with orbital implant in second stage operation for ocular trauma

Objective To investigate the reason of self sclera deliquesce after enucleation of eyeball with orbital implant in second stage operation for ocular trauma.Methods According whether primary suture with seond enucleation of eyeball with orbital implant,The pateints were divided into two groups:Group 1:second enucleation of eyeball with orbital implant after ocular trauma ( 164 eyes in 164 cases)and Group 2:enucleation of eyeball with orbital implant after other reasons(352 eyes in 352 cases).The analysis matters including eyeball rupture,inflammatory reaction,the reasons of eyeball enucleation,postoperative complications and effects,and by that to compare the differences and possible cause of self sclera deliquescent in two groups.Results The incidence of self-sclera deliquesce was 8.54％ in Grroup 1,higher than the 1.99％ in Group 2 significantly.Conclusion We supposed that many reasons explain the self sclera deliquescent after second enucleation of eyeball with orbital implant in oculatr trauma:the time of orbital implantation,the exclusion of orbital implantation,hypersensitivity and antigen-antibody reaction,Tenon's scar and adherence and so on,so we consider it is help to prevent self-sclera deliquesce by choose proper timepoint to remove eyeball with orbital implant.