title: Full-thickeness anterior blepharotomy and transpalpebral fat decompression in Graves' orbitopathy.
abstract: A chief morbidity of Graves eye disease is eyelid retraction and exophthalmus. Transpalpebral orbital fat removal accomplished with full thickness anterior blepharotomy was performed in 4 patients (5 orbits). Preoperative and postoperative ocular exposure symptoms, visual acuity, upper eyelid retraction and proptosis were evaluated. In all 5 operated orbits preoperative symptoms resolved; good results were achieved from the functional and cosmetic point of view. Full-thickness anterior blepharotomy combined with fat decompression is a safe and effective surgery for patients with upper eyelid retraction and exophthalmus due to enlarged orbital fat compartment.
authors.affiliation: University Department of Ophthalmology, Clinical Hospital, Systers of Mercy, Zagreb, Croatia. renata.ivekovic@zg.htnet.hr
authors.forename: Renata
authors.initials: R
authors.lastname: Iveković
authors.forename: Katia
authors.initials: K
authors.lastname: Novak-Laus
authors.forename: Eugenia
authors.initials: E
authors.lastname: Tedeschi-Reiner
authors.forename: Sanja
authors.initials: S
authors.lastname: Masnec-Paskvalin
authors.forename: Dean
authors.initials: D
authors.lastname: Sarić
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Mandić
mesh_terms: D000328:Adult; D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods*; D005141:Eyelid Diseases / Q000601:surgery*; D005260:Female; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome