[Orbital decompression in Graves' orbitopathy-Experiences and results].

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
Sebastian KüchlinWolf A Lagrèze

Abstract

Graves' orbitopathy is the most frequent extrathyroidal manifestation of Graves' disease, affecting approximately 25-50% of patients. It leads to inflammation and swelling of orbital soft tissues. The treatment is mostly conservative. Surgical orbital decompression is indicated in severe cases with disfiguring exophthalmos or an acute steroid-refractive threat to vision, facilitating visual and cosmetic recovery. An important aspect in the quality of care is the avoidance of postoperative diplopia. To report experiences and results from 100 cases of orbital decompression surgery performed on 62 patients at a multidisciplinary orbit center. Patients with signs of apical crowding were treated by pterional decompression. Patients without signs of apical crowding were treated either by deep lateral wall resection or pterional decompression. A retrospective data analysis was carried out. The mean reduction in exophthalmos was 2.9 mm. Visual acuity improved by a mean of 2.2 lines in eyes with sight-threatening disease. In moderate to severe disease, visual acuity remained stable. The complication rate was 4%. New postoperative diplopia occurred after two interventions and one patient experienced a deterioration in visual acuity from ...Continue Reading

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Citations

Dec 12, 2020·Laryngo- rhino- otologie·Stefan K PlontkeJens Heichel
Jan 22, 2021·World Neurosurgery·Sebastian KuechlinJuergen Grauvogel

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Software Mentioned

ggplot2
RStudio
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R

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