Endoscopic orbital decompression for thyroid-associated ophthalmopathy.
- Author:
Haibin SHENG
1
;
Changping CAI
;
Yu CHENG
;
Qin JIAO
;
Wei ZHU
;
Yongju ZHAO
;
Wenqiang FANG
;
Ling TAN
Author Information
1. Department of Otolaryngology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Decompression, Surgical;
methods;
Endoscopy;
Female;
Graves Ophthalmopathy;
surgery;
Humans;
Male;
Middle Aged;
Orbit;
surgery;
Retrospective Studies;
Treatment Outcome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2012;26(1):27-29
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the therapeutic results of endoscopic orbital decompression for thyroid-associated ophthalmopathy.
METHOD:The records of nine patients (twelve orbits) received endoscopic orbital decompression for thyroid-associated ophthalmopathy were analyzed for changes in visual acuity, intraocular pressure, proptosis, corneal ulceration and movement. The follow-ups ranged from two months to thirty-six months.
RESULT:Twelve orbits (100%) had improvement in visual acuity (range 0.1-0.7). Ten orbits (83.3%) decreased in intraocular pressure (range 0.2-21.4 mm Hg). Eight orbits (66.70%) decreased in proptosis (one-five mm). The orbit with corneal ulcer was healed after decompression. Diplopia was cured in one of four patients.
CONCLUSION:Endoscopic orbital decompression is a safe and effective procedure for the treatment of thyroid-associated ophthalmopathy.