Three-wall orbital decompression in Graves ophthalmopathy for improvement of vision.
Graves ophthalmopathy can result in progressive visual loss. Four patients with deteriorating vision despite steroid therapy and/or radiotherapy underwent three-wall orbital decompression through an extended subciliary incision for the preservation of vision. The authors evaluated the visual outcome and morbidity after three-wall orbital decompression for patients with Graves ophthalmopathy. Visual acuity improved for all patients without any major complications in the short-term postoperative period (4 weeks), and visual acuity maintained or improved during the follow-up period. The authors conclude that three-wall orbital decompression can be effective in improving the vision of patients with Graves ophthalmopathy whose vision failed to improve with conservative therapy.
Lee
Taik Jong
TJ
Department of Plastic Surgery, San Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. tjlee@amc.seoul.kr
Kang
Min Hyuk
MH
Hong
Joon Pio
JP
D000328:Adult; D019299:Decompression, Surgical; D005094:Exophthalmos / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D016896:Treatment Outcome; D014786:Vision Disorders / Q000601:surgery*; D015354:Vision, Low / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology