title: Orbital decompression for severe dysthyroid eye disease.
abstract: Current methods of medical treatment of this difficult condition are briefly reviewed, with comments on the generally unsatisfactory response. Attention is therefore directed to surgical methods and a short history given of the various routes used for orbital decompression. The author's own results of transantral, and more recently ethmoidal, decompression are given, with a detailed description of the technique for the latter approach. An interesting frequent consequence of postoperative A pattern to the ocular movements is discussed in the light of Koornneef's concept of orbital fascial anatomy, and suggestions are made for its avoidance.
mesh_terms: D005094:Exophthalmos / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005133:Eye Movements; D006801:Humans; D008722:Methods; D011183:Postoperative Complications / Q000601:surgery; D013285:Strabismus / Q000601:surgery; D013959:Thyroid Diseases / Q000150:complications*; D014057:Tomography, X-Ray Computed