义眼

摘要： 传统的鸟类剥制标本采用的一些制作材料会产生环境污染,同时对标本本身存在一定程度的弊端,不利于标本的长期保存.随着标本制作工艺的不断提高,一些新的材料逐渐被用于标本制作中.文章以鸟类标本制作为依托,详细阐述新材料在剥制标本制作中的具体应用.

摘要： 目的 探讨眼球摘除义眼台植入术后患者义眼的配戴及护理.方法 在患者眼球摘除义眼台植入术后,按照患者健眼的大小、巩膜颜色等特征,使用聚甲基丙烯酸酯材料配制佩戴义眼片.结果 本组187例患者均完成义眼的配戴.其中17例佩戴后出现分泌物增多,经及时用药及义眼片清洗完成配戴;2例由于眼睑刺激水肿,经治疗后2个月后完成配戴;其余患者均顺利完成配戴.结论 天然珊瑚多孔羟基磷灰石义眼台植入术后配戴聚甲基丙烯酸酯义眼片,组织相容性好、重量轻,两种材料相结合,不但减少了眶内异物刺激,而且舒适美观,使患者增加自信.同时可减轻患者的痛苦,提高了患者的生活质量.

摘要： Objective To evaluate the effect of eyeball atrophy Plastic surgery with acellular bovine pericardium patch. Methods Thirty-four patients (34 eyes) with mild or moderate ocular atrophy were sacrificed. The corneal epithelium and surrounding tissue were completely removed from the atrophic eyeball, the patch with a diameter of 20mm was used to cover the sclera, and the bulbar conjunctiva and the fascia of the eye were sliding down simultaneously, covering the whole patch and fixing it at the lower edge of the cornea. The custom-made artificial eyes were wore 1 months after operation and follow-up 6-24 months to observe the effect. Results There were no corneal exposure and foreign body sensation in 34 cases. The bilateral palpebral fissures were symmetrical and the appearance was improved. Conclusion The treatment of mild or moderate atrophy of eyeball using acellular bovine pericardium patch can make the cornea is not easy to expose after surgery, and no obvious foreign body sensation and irritation symptoms after wearing a personalized implant.%目的:探讨脱细胞牛心包补片在眼球萎缩整形中的临床效果.方法:轻中度眼球萎缩34例(34眼),术中将萎缩眼球的角膜上皮层和角膜缘上皮组织彻底清除,将直径20mm补片覆盖于角巩膜,上方球结膜与眼球筋膜同时向下滑行,覆盖整个补片并固定于下方角膜缘,与下方眼球筋膜及结膜缝合.术后1个月定做义眼片佩戴,随访6~24个月,观察其效果.结果:34例轻中度眼球萎缩患者,术后结膜筋膜均覆盖良好,无角膜暴露,佩戴义眼片后无明显异物感及刺激症状,双侧睑裂对称,外观改善良好.结论:轻中度眼球萎缩采用脱细胞牛心包补片治疗,术后角膜不易暴露,佩戴个性化义眼片后无明显异物感及刺激症状.

摘要： 目的：探讨改良眼内容物剜除术替代义眼台植入预防眼窝凹陷的方法及临床效果。方法：对36例（36）眼视力丧失患者行保留角膜的眼内容物剜除术，术中将眼内容物及色素剜除干净，剪断视神经。术后1月订做并佩戴义眼片改善外观，随访6～24个月。结果：36例（36眼）眼眶区饱满，睑裂高度双眼基本对称，义眼活动度良好。结论：改良式眼内容物剜除术操作简便，疗效好，痛苦小，费用低，并发症小，值得基层医院推广应用。%Objective To explore a now way to replace the orbital implant and observe its clinical effect. Methods A total of 36 patients underwent corneal retention enucleation were observed.During the operation of intraocular contents and pigment enucleation clean,and cut the optic nerve.Ocular prosthesis were ordered through individuation 1 month after operation,the follow up period ranged from 6-24 months. Results All patients eye socket was well-stacked,the palpebral ifssure height was symmetry,the false eyes moved well,all eye socket sunken were modiifed,the appearance improved markedly. Conclusion Modified tendon capsule cover combine with evisceration and cut off the opticis a les pain,cost less operation.It has no complications ,and is economic and worthy of generalization used in primary hospitals.

摘要： Objective To investigate the clinical effect of wearing thin-walled ocular prosthesis after conjunctival and balbar fascia flap covering surgery of atrophicy eyeball.Methods Totally 64 eyes of 64 patients with mild-to-moderate atrophic eyeball were treated. In the operation, the corneal epithelium and limbus epithelial tissue of atrophic eyeball were thoroughly removed, the above bulbar conjunctiva and bulbar fascia lfae were slid downward, to cover the whole cornea and were ifxed in the inferior limbus, and stratiifed suture was used in the below fascia and conjunctiva. After a month, customized personalized ocular prosthesis was used. The follow-up time was 6-24 months and the curative effect was observed. ResultsThe conjunctiva fascia coverage of 64 patients (64 eyes) was good with no corneal exposure and foreign body sensation. The bilateral palpbral ifssure height was similar in two eyes. The improved outward appearance was satisfactory.Conclusion Applying complete conjunctiva fascia lfap to cover cornea in mild-to-moderate eyeball atrophy is effective. The healing of postoperative fascia and cornea is good.The cosmetic effect of wearing personalized ocular prosthesis is good.%目的：探讨萎缩眼球行结膜筋膜覆盖术后配戴薄型义眼的临床效果。方法：轻中度眼球萎缩64例（64眼）。术中将萎缩眼球的角膜上皮层和角膜缘浅层巩膜组织彻底清除，将上方球结膜和眼球筋膜同时向下滑行，覆盖整个角膜并固定于下方角膜缘，与下方眼球筋膜及结膜缝合。术后1个月定做义眼片佩戴，随访6～24个月，观察其效果。结果：64例结膜筋膜覆盖良好，无角膜暴露，无异物感，双侧睑裂对称，外观改善满意。结论：轻中度眼球萎缩采用改良结膜眼球筋膜瓣覆盖角膜，术后愈合良好，佩戴个性化义眼片，可达到美容效果。

摘要： Objective To study the effects of the surgical treatment of blepharoptosis in patients with ocular prosthesis.Methods The levator muscle plication or frontalis muscle flap suspension operation were performed on 23 eyes of 23 cases with blepharoptosis.The patients with implanting ocular prosthesis could improve the palpebral fissure size.Results The appearance of eyes were mainly symmetic after operation.Conclusion The surgical treatment for blepharoptosis in patients with ocular prosthesis brings good efficacy.%目的 探讨佩戴义眼患者上睑下垂的手术治疗.方法 23例(23眼)因佩戴义眼后上睑下垂者通过上睑提肌折叠缩短或额肌瓣悬吊术,改善睑裂大小.结果 术后两眼外观基本对称.结论 佩戴义眼患者上睑下垂进行手术矫正效果良好.

摘要： 目的 探讨保留外伤性萎缩眼球配戴薄型义眼的方法与临床效果.方法 轻中度外伤眼球萎缩32例(32眼).术中将萎缩眼球的角膜浅层基质和角膜缘上皮组织彻底清除,将上方球结膜和眼球筋膜同时向下滑行,覆盖整个角膜并固定于下方角膜缘,与下方眼球筋膜及结膜缝合.术后1个月定做义眼片佩戴,随访6 ～ 24个月,观察其效果.结果 32例结膜筋膜覆盖良好,无角膜暴露,患者无异物感,双侧睑裂对称,外观改善满意.结论 轻中度外伤性眼球萎缩采用改良结膜眼球筋膜瓣覆盖角膜,术后愈合良好,角膜不暴露,结膜囊成形好,佩戴个性化义眼片,可达到美容效果.%Objective To investigate the method and clinical effect of wearing thin-walled ocular prosthesis after conjunctival and bulbar fascia flap coverlaying surgery of traumatic atrophic eyeball.Methods Total 32 eyes of 32 patients with mild-to-moderate traumatic atrophic eyeball were treated.In the operation,the superficial parenchyma of cornea and limbus epithelial tissue of atrophic eyeball were thoroughly removed,the above bulbar conjunctiva and bulbar fascia flap were slid downward to cover the whole cornea and fixed in the inferior limbus,and sutured with fascia and conjunctiva below.At 1 month postoperatively,customized personalized ocular prosthesis was used.The follow-up time was 6-24 months and the curative effect was observed.Results The conjunctiva fascia coverage of 32 patients were good without corneal exposure or foreign body sensation.The improved appearance was satisfactory.Conclusion Applying complete conjunctiva fascia flap to cover cornea in mild-to-moderate traumatic atrophic eyeball is effective.The healing of postoperative fascia and cornea is good,and the cornea is not exposed.The cosmetic effect of wearing personalized ocular prosthesis is good.

摘要： 自然的山水、林木、花草及各类人工建筑等等,是为我们眼中的风景,常让我们陶醉。其实纷繁人世中,男男女女,老老少少,熙熙攘攘,来来往往,亦人自成景,所谓人景也。在一个地方居住或常在一个区域活动,时间长了,你会发现种种人等世相,会时常令你念念不忘、感慨万千。最早引起我关注的是一对中年夫妻。女的拄着拐杖在前面一瘸一拐跛行,男的提了个高脚马扎在后面跟着;走一段路之后,男人放下马扎让女人坐下休息

摘要： 姐姐又哭又闹。要成为我姐夫的是那个外号叫＂二三＂的。生下时二斤三两不算,小学二年级上了三年,上了三年就上了三年,问题是仍写不清楚自己姓名。父亲劝姐姐：有点二三不碍事,傻人傻福嘛,人家是国营工厂大工人,捧着＂铁饭碗＂。你过去,也捧＂铁饭碗＂。＂铁饭碗＂啊!退一万步,就算是为了你哥。再退一万步,就算帮你老子一把。老古言：破窑里烧好砖。

摘要： Objective To explore new dacron patch retain eye cure postoperative wear thin shell cover righteousness for the treatment of mild and moderate eyeball atrophy clinical effect and safety. Meth⁃ods Among 32 cases (32 eyes) with mild and moderate eyeball atrophy patients without active le⁃sions in eyes take cornea and angle resection margin plate layer joint heart dacron patch covering cornea,postoperative transparent support the eye piece of conjunctival sac,4-6 weeks after wearing a thin shell of righteousness. Results Random access 6-24 months,32 cases (32 eyes) with con⁃junctival flap back, incision dehiscence and epithelial implantation cyst, there was no foreign body sensation or complications such as infection.Wearing a thin shell prosthesis had a certain activity, and the appearance improved well. Conclusion For mild and moderate eyeball atrophy patients without active lesions in eyes, take cornea and Angle resection combined heart dacron patch to cover flange layer after wearing thin shell the eye, can get a good cosmetic effect.%目的：探讨保留眼球的新增涤纶补片遮盖术后佩戴薄壳义眼治疗轻、中度眼球萎缩的临床效果及安全性。方法：对32例（32眼）轻、中度眼球萎缩且眼内无活动病变的患者行角膜及角巩缘板层切除术联合心脏涤纶补片角膜遮盖术，术后透明义眼片支撑结膜囊，术后4～6周佩戴薄壳义眼。结果：随访6～24月。32例（32眼）无结膜瓣回退、切口裂开及上皮植入性囊肿，无异物感或感染等并发症发生。佩戴薄壳义眼有一定活动度，外观改善良好。结论：对轻、中度眼球萎缩且无眼内活动性病变的患者，行角膜及角巩缘板层切除联合心脏涤纶补片遮盖术后佩戴薄壳义眼，可获得良好的美容效果。

摘要： 眼球因各种原因摘除后,为预防或减少各种眼部畸形和后遗症发生,并使配置的义眼获得逼真灵活的最佳美容效果,需要行眼眶内植入义眼台。本文创用了球内容剜除术联合球内视神经剪断,巩膜花瓣状成形的方法,行HA义眼台包裹一期植入,临床应用数百例,获得了满意的美容效果。

摘要： 各种原因造成的眼球萎缩严重影响容貌,因角膜感觉灵敏而病人无法直接佩戴义眼。本文对对58例眼球萎缩病人利用保留萎缩眼球用球筋膜结膜行遮盖角膜术,术后佩戴定制义眼同样达到很好的美容效果。文章对手术过程及注意事项进行了介绍。

摘要： 本发明涉及假肢产品领域，特别涉及义眼台及其制备方法、义眼及其制备方法。该义眼台上设置有义眼片配合位点、直肌缝合位点和多孔空间结构。该义眼台与健眼匹配度高，舒适度良好、安全性高，术后排斥反应小，并能促进细胞、组织生长，抗炎，促进术后恢复；义眼台、义眼片磁性相互配合位点便于义眼片的佩戴与定位；同时义眼台的活动可以带动义眼片的活动，达到超仿真的效果。

摘要： 本申请涉及一种义眼片制造方法、义眼片及义眼，义眼片制造方法包括获取义眼片三维模型和患者对侧眼外貌特征；根据对侧眼外貌特征调整义眼片三维模型得到义眼片三维数据；根据义眼片三维数据制造义眼片。本申请可针对不同的人进行个性化定制，与对侧眼差异缩小、真实度高，与人体贴合度高，并且，不需使用模具，制造周期短，制造过程简单。

摘要： 本发明涉及假肢产品领域，特别涉及义眼台及其制备方法、义眼及其制备方法。该义眼台上设置有义眼片配合位点、直肌缝合位点和多孔空间结构。该义眼台与健眼匹配度高，舒适度良好、安全性高，术后排斥反应小，并能促进细胞、组织生长，抗炎，促进术后恢复；义眼台、义眼片磁性相互配合位点便于义眼片的佩戴与定位；同时义眼台的活动可以带动义眼片的活动，达到超仿真的效果。

摘要： 本发明公开了一种义眼球吸盘，其吸嘴与义眼球接触部分的口部外形和义眼球外形相适应、相匹配，且该吸嘴的尾部通过一开口(2)与气囊(3)相联。其吸取义眼球的方法是：首先，用力挤压气囊的腹部并保持挤压状态，排出气囊内的一部分空气；接着，将吸嘴的口部贴在眼眶内义眼球的表面，然后再松开气囊的腹部，由于气囊内受压缩的空气膨胀，致使吸嘴口部受气囊内空气膨胀吸力的作用而将义眼球牢牢吸住；最后，再将力作用在气囊上而将义眼球从眼眶内吸取出来。本发明吸取义眼球轻便自如、卫生干净、快速方便、感觉舒适、不会疼痛，不会对义眼球的表面造成损害，也不存在脱落的问题，从而对义眼球轻松实现定期消毒冲洗。

摘要： 本发明公开了基于3D电脑建模的义眼制作方法，具体步骤如下：利用分辨率达到0.1mm的3D光学扫描仪，分别对患者的面形及眼囊进行两次扫描，各自得出眼窝数据、眼座数据、面形数据及健康眼球四项参数；将四组参数导入Polygon式建模软件中，先导入面形数据，再按照健康眼球数据预先设计好虚拟义眼，填入眼窝数据中套取的焦点中心位置，然后对眼座数据进行消减运算，再与健康眼球的Y轴及Z轴对比调齐；得出按照患者个人条件运算出的义眼基本模型后，需由义眼师通过软件分析眼座数据，按照解剖学原理调改模型的弧角；通过光敏3D打印后，用每层0.01mm的厚度打印出PMMA有机玻璃义眼模型。本发明配置速度快，配置效果好，佩戴舒适度高。

摘要： 一种基于3D打印的硅胶多孔义眼台制备方法，步骤包括有：步骤A、制备支撑材料和作为打印材料的PDMS硅胶；步骤B、进行义眼台结构模型设置，然后再设置3D打印机的打印参数；步骤D、将步骤一得到的PDMS硅胶放入3D打印机中，然后3D打印机将PDMS硅胶打印在步骤一得到的支撑材料中，得到原始多孔义眼台；步骤E、对步骤D的原始多孔义眼台及支撑结构进行整体加热，使原始多孔义眼台成型后热固化，得到固化多孔义眼台；步骤F、去除固化多孔义眼台的支撑结构后，然后对固化多孔义眼台进行表面改性，得到硅胶多孔义眼台。本发明解决了以硅胶为打印材料，进行球状多孔结构的义眼台3D打印。该方法的能得到孔径大小相同，且孔隙均匀的硅胶多孔义眼台。

摘要： 本申请公开了一种义眼的清洁设备，包括壳体，义眼打捞组件和杂物粘除组件；壳体包括义眼清洁仓和粘除组件安置仓；粘除组件安置仓位于义眼清洁仓的一侧，与义眼清洁仓连通；义眼打捞组件主体为勺形，用于将义眼捞出并放入杂物粘除组件；杂物粘除组件包括胶带布设组件和胶带挤压组件；胶带布设组件数量为两个；胶带布设组件包括胶带和滚筒，一个胶带布设组件的滚筒的数量为两个，用于通过自身转动收放胶带；胶带为一面涂有胶的带状体，数量为两条，两条胶带有胶的一面相对；胶带挤压组件起到通过多次挤压胶带迫使两条胶带相互靠近进而将义眼上的杂物粘除的作用；实现了义眼的清洁设备在义眼清洁完成后不会在义眼上残留漂浮杂质的技术效果。

摘要： 本发明涉及医疗器械技术领域，具体涉及一种义眼装置，包括前端的仿真义眼片和安装于所述义眼片后端的义眼台，所述义眼台包括：连接件，安装于所述义眼片上；充气式的气囊，固设于连接件上。本发明的义眼装置将义眼台设置为包括可充气式的气囊结构，使得义眼装置可以根据每个人不同的眼眶和承受的眼压实时调整气囊的大小，大大降低了使用者的不适感，义眼装置安装和更换配件方便，便于及时消毒清洁，相较于现有技术中的义眼，更具有实用性，值得推广。

摘要： 本申请提供了义眼片及义眼，其中，义眼片包括透明晶体和片体，其中，透明晶体呈凸透镜状，透明晶体与片体连接；义眼片采用三维打印技术一体打印成型。本申请提供的义眼片及义眼，可以基于患者健眼的真实数据进行个性化设计，加工过程更加简单方便，无需装配，且通过凸透镜状的透明晶体实现聚光效果，提高了义眼片的真实度。

摘要： 本实用新型涉及一种3D打印义眼片及义眼台，属于3D义眼技术领域，包括承重台，承重台的顶部靠近后表面边缘处固定安装有控制台。本实用新型，通过3D技术打印的义眼片及义眼台具有可塑性良好，个体性定制特点，因此与患者个体特征较为贴合，为个人量身定制，因此在佩戴使用过程中体验性良好，同时较为舒适，且使用树脂材料制作无细胞毒性，适合于人体使用，生物兼容性较好，3D打印技术使产品具有较高机械性能及尺寸准确性，且3D打印出义眼片及义眼台具有较好的材料稳定性，可数年内避免出现变形、变色、变性等问题，延长产品使用寿命，节约了经济成本，创造潜在的经济效益，节约时间成本：无需开模制造，缩短制造周期。