[Observation of clinical results of orbital decompression in 30 cases of malignant exophthalmos].
OBJECTIVE
To evaluate the effectiveness and safety of orbital decompression for the treatment of malignant exophthalmos.


METHODS
Thirty four eyes of malignant exophthalmos were followed-up for 3 months to 9 years (averaged 6 years) after orbital decompression (two walls decompression in 22 eyes, three walls decompression in 12 eyes). The postoperative vision, protrusion value and appearance of the patients were examined and analyzed.


RESULTS
Complete closure of palpebral fissure was attained in all cases and the visual acuity was increased in 25 eyes, remained the same in 5 eyes and decreased in 4 eyes. The mean recession of exophthalmos after operation was 3.8 mm in two walls decompression and 7.1 mm in three walls decompression, respectively.


CONCLUSIONS
Orbital decompression is an effective method for the treatment of malignant exophthalmos.
He
Wei-min
WM
Department of Ophthalmology, Huaxi Hospital, Sichuan University, Chengdu 610041, China. Hewmhuangy@hotmail.com
Luo
Qing-li
QL
Zeng
Ji-hong
JH
Xia
Rui-nan
RN
D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000379:methods*; D005094:Exophthalmos / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery; D016896:Treatment Outcome; D014792:Visual Acuity