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Enophthalmos is a relatively frequent and misdiagnosed clinical sign in orbital diseases.

眼球内陷是一系列常见和误诊疾病的临床体征。

Its objective is to enable the reader to recognize, assess, and treat the spectrum of disorders causing enophthalmos.

文章目的在于让每位阅读者了解导致眼球内陷的疾病谱及如何治疗这些疾病。

After surgical reconstruction, improvement of extraocular movement limitation was found in 16 patients (88%); improvement of vision in 14 cases (60%); improvement of enophthalmos in 6 cases (26%). 14 cases with infraorbital hypoesthesia showed improvement in 8 patients.

手术治疗病例中,外眼肌活动改善者16例(88%);视力进步或不变者12例(66%);眼球内陷改善者6例(33%);14例术前有眼窝下神经知觉麻痹,其中8例於术后获得改善。

ObjectiveSuction body fat in the eyelids filled with depression, enophthalmos used to repair the eyelid deformity.

目的:通过抽吸自体的脂肪颗粒填充于眼睑的凹陷处,用来修复眼睑的内陷畸形。

Orbital those who have symptoms of the disease orbital shown by the symptoms of the disease, most prominent of the eyeball and eye position to change the main, a small number of diseases can be shown enophthalmos the case.

眼窝疾病有那些症状?眼窝疾病所表现的症状,大部分是以眼球突出及眼位改变为主,少数疾病可表现出眼球内陷的情形。

Signs include enophthalmos, miosis, elevated third eyelid, and ptosis.

症状包括眼球内陷、瞳孔缩小、第三眼睑上移和上眼睑下垂。

RESULTS: Two cases which were open fractures were operated at first time. Diplopia and ocular region anomaly were not catch out. All of the 78 cases were treated by conservative treatment first. Conservative treatment was involved high doses of corticosteroid and the use of dehydrating and neurotrophy agents etc. In 41 cases(52%) diplopia completely disappeared and partly disappeared, the enophthalmos was less than 2 mm,and ocular region anomaly reduce.

结果:开放性骨折2例行1期手术,术后无明显复视和眼球凹陷。78例早期均先采用保守治疗,保守治疗包括使用大剂量皮质类固醇激素,高渗脱水剂、神经营养药物等,有41例复视消失或减轻,眼球内陷小于2mm,保守治疗的总有效率为52%。

The postoperative enophthalmos degree was 02mm, and the infrashift of orbit was 02mm.

结果:所选45例患者术后外观获得显著改善,眼球内陷矫正,复视得到改善。

Porous high-density polyethylene ; Orbital blow-out fractures ; Enophthalmos

高密度多孔聚乙烯;眶壁爆裂性骨折;眼球内陷

However, the therapeutic efficacy is not ideal yet. There were 5 cases remained at least 3 mm enophthalmos postoperatively. The analysis of the CT data indicated that the insufficient compensation of orbital volume should contribute to the remained enophthalmos. The titanium mesh prebent with the aid of CAD/CAM technique can provide precise orbital reconstruction but can not increase the orbital volume sufficiently because of its limited thickness.

与此相应的是,该技术在术后眼球突度和复视恢复程度上,也较传统方法有所提高,然而,其治疗效果并不十分满意,8例患者中有5例在术后仍有超过3mm的眼球内陷,这一方面是由于该组病例创伤相对较为严重,另一方面,我们通过术后CT分析认为是由于眶容积补偿不足造成的,这是因为钛网的厚度有限,即使达到了精确的眶壁重建,其自身厚度也不足以补偿因脂肪液化、萎缩所造成的眶容积损失。

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从鲍尔点的形成原理出发,分析对称连杆曲线上鲍尔点的产生条件,提出等边机构的对称连杆曲线上有单鲍尔点和双鲍尔点。

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