Abstract
Orbital decompression in Graves-Basedow disease – preliminary report
- Katedra i Klinika Chirurgii Szczękowo-Twarzowej Collegium Medicum Uniwersytetu Jagiellońskiegow Krakowie
- Oddział Okulistyczny Wojewódzkiego Szpitala Specjalistycznego im. Ludwika Rydygiera w Krakowie
Introduction
The aim of the paper is to present our initial experience in surgical treatment of patients with malignant exophthalmos.
Material and methods
from 2001 to 2004, 11 patients with malignant exophthalmos were treated in our Department. Preoperative exophthalmos ranged from 22 to 40mm, asymmetric exophthalmos was diagnosed in 5 cases. Orbital decompression was indicated in patients with ophthalmopathy (11), decreased visual acuity (4), lagophthalmos (3). Decompression included orbital floor, medial and lateral wall in 8 patients, orbital floor and medial wall in 3.
Results
in 5 patients exophthalmos decreased 5-8mm, in 5 cases 2-3mm, 1 patient remained without improvement.
Conclusions
1. The treatment of malignant exophthalmos requires multidisciplinary approach. 2 Orbital decompression should be followed by surgical correction of eyelids and eyeball muscles.
Keywords
Graves-Basedow ophthalmopathy, decompression of the orbit
Integrated with
