Orbital decompression for Graves' disease: exposure through a modified blepharoplasty incision.
A "transorbital" three-wall decompression through a modified blepharoplasty incision was used to treat 19 orbits for either cosmetic disfigurement or optic neuropathy. In the 14 orbits with disfigurement, surgical retroplacement averaged 5.2 mm; vision improved to 20/40 or better in four of five eyes with optic neuropathy. Complications attributed to the surgery included: acquired strabismus (two transient, one permanent) and infraorbital hypesthesia (one transient, one permanent). This technique's advantages are: 1) a single incision with wide exposure, 2) a low incidence of permanent strabismus, 3) a lateral orbital rim and canthal tendon preservation, and 4) a large reduction in proptosis.
Antoszyk
J H
JH
Department of Ophthalmology, Royal Victoria Hospital, McGill University, Montréal, Québec, Canada.
Tucker
N
N
Codère
F
F
D000328:Adult; D000368:Aged; D005094:Exophthalmos / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009901:Optic Nerve Diseases / Q000601:surgery; D009915:Orbit / Q000601:surgery*; D011183:Postoperative Complications; D013518:Surgery, Plastic / Q000379:methods; D014792:Visual Acuity