[Initial experience with transpalpebral orbital lipectomy].
OBJECTIVE
The aim of this study was to evaluate the short-term effectiveness of transpalpebral orbital lipectomy.


METHODS
Using a transpalpebral approach, 2.0-6.5 ml connective tissue was removed from 50 orbits of 33 patients with mild to severe Graves' orbitopathy (25 females, 8 males) over a 5-year period. Indications for surgery comprised cosmetic correction of exophthalmos (27/33 patients), corneal damage (5/33), and rapid bilateral deterioration of visual acuity in 1 patient.


RESULTS
In 27 patients undergoing correction for aesthetic purposes no change in visual acuity ensued; in 4 of 5 keratopathy patients an improvement in visual acuity was detected. Diplopia ceased in 4 of 13 patients, diminished in 3 of 13 cases, and constantly increased in 2 of 13 cases. The high intraocular pressure returned to normal in 8 of 13 patients. The proptosis was reduced at 3.2+/-1.3 mm.


CONCLUSIONS
Transpalpebral orbital lipectomy is a low-risk, highly effective technique for orbital decompression in both acute and chronic cases of Graves' orbitopathy.
Balázs
E
E
Augenklinik, Zentrum für Medizin und Gesundheitswissenschaft, Universität zu Debrecen, Nagyerdei krt. 98., 4012 Debrecen, Ungarn. ebalazs@jaguar.dote.hu
Nagy
E V
EV
Tóth
K
K
Steiber
Z
Z
Kertész
K
K
Szucs-Farkas
Z
Z
Berta
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D049970:Graves Ophthalmopathy / Q000150:complications / Q000601:surgery*; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D009915:Orbit / Q000601:surgery; D010865:Pilot Projects; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology / Q000517:prevention & control*