[Orbital decompression in Graves-Basedow disease--preliminary report].
The aim of the paper is to present our initial experience in surgical treatment of patients with malignant exophthalmos.


METHODS
from 2001 to 2004, 11 patients with malignant exophthalmos were treated in our Department. Preoperative exophthalmos ranged from 22 to 40mm, asymmetric exophthalmos was diagnosed in 5 cases. Orbital decompression was indicated in patients with ophthalmopathy (11), decreased visual acuity (4), lagophthalmos (3). Decompression included orbital floor, medial and lateral wall in 8 patients, orbital floor and medial wall in 3.


RESULTS
in 5 patients exophthalmos decreased 5-8 mm, in 5 cases 2-3 mm, 1 patient remained without improvement.


CONCLUSIONS
1. The treatment of malignant exophthalmos requires multidisciplinary approach. 2 Orbital decompression should be followed by surgical correction of eyelids and eyeball muscles.
Zapała
Jan
J
Z Katedry i Kliniki Chirurgii Szczekowo-Twarzowej Collegium Medicum Uniwersytetu Jagiellońskiegow Krakowie.
Wyszyńska-Pawelec
Grazyna
G
Staszak-Pappe
Ewa
E
D019299:Decompression, Surgical; D005260:Female; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D008297:Male; D009915:Orbit / Q000601:surgery; D016896:Treatment Outcome