先天性小眼症眼窠擴張治療之臨床觀察

Clinical Observation of Socket Expansion Therapy in Congenital Microphthalmos

尤景弘(Ching-Hung Yu) ； 馬俐(Li Ma) ； 高錦弘(Ching-Hong Kao)

《中華民國眼科醫學會雜誌》 34卷2期 (1995/06) Pp. 230-237

https://doi.org/10.30048/ACTASOS.199506.0013

摘要

先天性小眼症是在胚胎發育早期眼球生長停滯所造成的先天異常。為了改善病人的外觀，在臨床上最簡便的方法是在早期使用逐漸加大的眼窠成形器或義眼來做眼窠擴張治療。分析過去十年（1985年一月到1994年七月）在長庚醫院眼科做義眼治療且年紀小於十歲的患者，單側先天性小眼症共有23例。在接受眼窠擴張治療後，這些病患在外觀上都獲得很大的改善。為了更客觀地瞭解治療的效果，我們分析六例病患水平瞼裂長度改變的情形。這六個病例都是在兩歲之前就開始接受治療而且能定期回診的病患。結果發現患眼水平瞼裂長度短小的情形在治療後都有改善。而效果較不明顯的病例可能是治療前眼部異常的情形較嚴重或治療開始得較晚。瞼裂大小的改變大約在2歲左右就趨於和緩。我們建議先天性小眼症患者應儘早接受眼窠擴張治療，而嚴重異常的病例可以考慮輔以其它的治療方式。

並列摘要

Congenital microphthalmos is a rare ocular anomaly due to arrest of ocular growth and development in early fetal life. Clinically, socket expansion therapy with progressive enlarging conformer and prosthesis in the early life is a simple and effective ways of treatment for congenital microphthalmos.
We retrospectively reviewed those cases younger then ten years refered to Chang Gung Memorial Hospital for prosthesis during Jan. 1985 ot July 1994. There were 23 patients with unilateral congenital microphthalmos receiving prosthetic treatment. The results showed marked improvement in general appearance and no noticeable complications. Further objectively, changes in horizontal palpebral fissure length were analysed to evaluate treatment effects in 6 cases who received treatment before 2 years of age and underwent regular follow-up. We found that deficits in horizontal palpebral fissure length are improved in all cases. Changes in horizontal palpebral fissure length become stable after two years of age. Less satisfactory results may result from severe ocular anomalies or later onset of treatment. We suggested that congenital microphthalmos should start socket expansion therapy as early as possible, and other treatment modalities be considered later as adjuvant in severe cases.

並列關鍵字

Congenital microphthalmos ； Socket expansion therapy ； Prosthesis