[Transantral orbit decompression to malignant ophthalmopathy].
OBJECTIVE
To recognize the indication and the value of transantral orbit decompression to malignant ophthalmopathy.


METHODS
9 eyes of 5 cases undergone transantral orbital decompression from November 1986 to October 1998 were reviewed.


RESULTS
After 3 months-2 years of follow-up. We found this approach successfully improved visual function of all 5 cases. Average proptosis reduction was 5 mm. The eye lids could be closed in 4 of the 5 cases and the palpebral fissures was decreased 1-2 mm in 1 of the 5 cases. Preoperative exposure keratitis resolved in both of the 2 cases. Diplopia was cured in both of the 2 cases. Secondary glucorna also recovered in both the 2 cases. Disturbance of ocular motility in both of the 2 cases improved postoperatively and preoperative visual acurity worsen also improved in both of the 2 cases.


CONCLUSIONS
It has been suggested that the transantral decompression of the orbit provided a safe, effective therapeutic modality for patients with vision-threatening or major cosmetic problem.
Chen
B
B
Department of Otolaryngology, Shanghai Sixth People's Hospital, Shanghai 200233.
Shen
P
P
Yin
S
S
Ke
G
G
D000328:Adult; D019299:Decompression, Surgical / Q000379:methods*; D005094:Exophthalmos / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006111:Graves Disease / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000601:surgery; D008875:Middle Aged; D009915:Orbit / Q000601:surgery