Orbital decompression surgery for the treatment of Graves' ophthalmopathy: comparison of different techniques and long-term results

International Journal of Ophthalmology
Mehmet Ozgur CubukMehmet Unal

Abstract

To evaluate the long-term results of different orbital decompression techniques performed in patients with Graves' ophthalmopathy (GO). Totally 170 cases with GO underwent orbital decompression between 1994 and 2014. Patients were divided into 4 groups as medial-inferior, medial-lateral (balanced), medial-lateral-inferior, and lateral only according to the applied surgical technique. Surgical indications, regression degrees on Hertel exophthalmometer, new-onset diplopia in the primary gaze and new-onset gaze-evoked diplopia after surgery and visual acuity in cases with dysthyroid optic neuropathy (DON) were compared between different surgical techniques. The study included 248 eyes of 149 patients. The mean age for surgery was 42.3±13.2y. DON was the surgical indication in 36.6% of cases, and three-wall decompression was the most preferred technique in these cases. All types of surgery significantly decrease the Hertel values (P<0.005). Balanced medial-lateral, and only lateral wall decompression caused the lowest rate of postoperative new-onset diplopia in primary gaze. The improvement of visual acuity in patients with DON did not significantly differ between the groups (P=0.181). The study show that orbital decompression surg...Continue Reading

Citations

Feb 1, 2021·International Ophthalmology·Antonio Augusto V CruzRoque Lima Souza
Feb 19, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Federico Maria GioacchiniMassimo Re

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