title: [Orbital decompression in Graves-Basedow disease--preliminary report].
abstract: 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.
authors.affiliation: Z Katedry i Kliniki Chirurgii Szczekowo-Twarzowej Collegium Medicum Uniwersytetu Jagiellońskiegow Krakowie.
authors.forename: Jan
authors.initials: J
authors.lastname: Zapała
authors.forename: Grazyna
authors.initials: G
authors.lastname: Wyszyńska-Pawelec
authors.forename: Ewa
authors.initials: E
authors.lastname: Staszak-Pappe
mesh_terms: D019299:Decompression, Surgical; D005260:Female; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D008297:Male; D009915:Orbit / Q000601:surgery; D016896:Treatment Outcome