Three Wall Orbital Decompression for Compressive Optic Neuropathy in Thyroid Ophthalmopathy
10.3342/kjorl-hns.2017.00479
- Author:
Ji Ah SONG
1
;
Joo Yeon KIM
;
Soo Jung LEE
;
Jae Hwan KWON
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. entkwon@hanmail.net
- Publication Type:Case Report
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2019;62(2):125-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thyroid ophthalmopathy is an autoimmune disease that affect the orbital and periorbital soft tissue, characterized by bulging eye (exophthalmos) and compressed orbital structures, such as the optic nerves. The indications for surgical treatment for thyroid ophthalmopathy include decreased visual acuity caused by optic neuropathy, conjunctivitis and progressive facial deformity caused by exophthalmos. Orbital wall decompression by nasal endoscopy resulte in good cosmetic effects and visual recovery. Balanced orbital decompression is considered to be a safe and effective surgery that can help avoid postoperative diplopia. We introduce three successful cases of orbital wall decompression for the treatment of thyroid ophthalmopathy.