Treatment of exophthalmos and strabismus surgery in thyroid-associated orbitopathy

International Journal of Oral and Maxillofacial Surgery
A ImburgiaL C Clauser

Abstract

Endocrine orbitopathy (EO) can have important consequences, such as exophthalmos and restrictive strabismus. A retrospective study was performed of 35 patients with EO who underwent orbital decompression surgery and restrictive strabismus correction. Two surgical techniques for orbital decompression were analyzed: fat decompression by Olivari technique and three-wall bony expansion with fat decompression. Strabismus surgery was performed using adjustable or non-adjustable sutures under topical anaesthesia. Patients were divided into two groups according to the type of intra-orbital decompression performed, and the postoperative values resulting from the different fat decompression techniques were recorded. The preoperative and postoperative mean degrees of exophthalmos were 22.3 and 19.9mm, respectively, for the fat decompression group, and 24.3 and 19.8mm, respectively, for the bony expansion with transpalpebral fat decompression (combined form) group. The difference in residual prism dioptres between adjustable and non-adjustable suture techniques in patients who had previously undergone combined decompression was statistically significant. The management of patients with EO requires a multidisciplinary approach based on the ...Continue Reading

References

Dec 18, 2001·Plastic and Reconstructive Surgery·L ClauserV Dallera
Jun 1, 1957·The Laryngoscope·T E WALSH, J H OGURA
Jan 15, 2010·The Journal of Craniofacial Surgery·Luigi Clauser, Riccardo Tieghi
Jul 16, 2011·Eye·B R Nihalani, D G Hunter
Dec 15, 2012·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Nicholas J VolpeGil Binenbaum

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Citations

May 23, 2019·Journal of Pediatric Ophthalmology and Strabismus·Filippo FrancoPaolo Perri
Mar 21, 2021·International Ophthalmology Clinics·Robi N Maamari, Steven M Couch

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