title: Endoscopic orbital decompression for optic neuropathy in thyroid ophthalmopathy.
abstract: Optic neuropathy, an uncommon manifestation occurs in 5% of patients with Graves' ophthalmopathy. Its outcome is good if early and proper treatment given. We reported a 49 years old male patient of Graves' disease with bilateral optic neuropathy. He underwent bilateral transnasal endoscopic orbital decompression with marked improvement of visual acuity bilaterally. The preoperative visual acuity was 6/36 in his right eye and 6/60 in his left eye. Two days after operation, his visual acuity was 6/12 in his right eye and 6/24 in his left eye. Transnasal endoscopic orbital decompression is a choice of treatment in optic neuropathy in thyroid ophthalmopathy after trial of corticosteroids.
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia. ingptang@yahoo.com
authors.forename: I P
authors.initials: IP
authors.lastname: Tang
authors.forename: N
authors.initials: N
authors.lastname: Prepageran
authors.forename: V
authors.initials: V
authors.lastname: Subrayan
authors.forename: I
authors.initials: I
authors.lastname: Tajunisah
mesh_terms: D019299:Decompression, Surgical / Q000379:methods*; D004724:Endoscopy; D049970:Graves Ophthalmopathy / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009901:Optic Nerve Diseases / Q000601:surgery*; D014792:Visual Acuity