| Comparison of lateral and medial orbital decompression for the treatment of compressive optic neuropathy in thyroid eye disease. | |
| | |
MedLine Citation:
|
PMID: 20736873 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
PURPOSE: : To compare the efficacy of lateral orbital decompression with medial orbital decompression for the treatment of compressive optic neuropathy (CON) caused by thyroid eye disease (TED). METHODS: : A retrospective review of all patients undergoing orbital decompression for TED-associated CON between 2003 and 2008 was conducted. Clinical outcome measures included visual acuity, mean deviation on Humphrey visual field, Ishihara color plate testing, afferent pupillary defect, and Hertel exophthalmometry. A composite CON score was also calculated for each patient based on the 3 visual outcome measures, with a higher CON score reflecting greater disease severity. RESULTS: : Twenty-eight eyes of 17 patients were included in the study. Ten orbits underwent lateral wall decompression, and 18 orbits underwent medial decompression. Both groups showed a significant postoperative improvement in visual acuity, Humphrey visual field testing, and color testing at 3 months following the initial surgery. The composite CON score improved 9.04 ± 9.97 points after lateral decompression (p = 0.02) and 9.03 ± 10.84 points after medial decompression (p = 0.003). There was no significant difference in the degree of improvement in any of the visual outcome measures between the lateral and medial groups. There was a statistically significant difference in the amount of proptosis reduction resulting from lateral decompression compared with medial decompression (6.3 versus 3.1 mm, respectively, p < 0.0001). CONCLUSIONS: : Lateral orbital decompression and medial orbital decompression are both efficacious for the treatment of TED-associated CON. Lateral decompression also results in a greater proptosis reduction than medial decompression. |
| | |
Authors:
|
Christina H Choe; Raymond I Cho; Victor M Elner |
Related Documents
:
|
9613383 - Effect of isovolaemic haemodilution on visual outcome in branch retinal vein occlusion. 19174723 - 25-gauge sutureless vitrectomy versus 20-gauge vitrectomy for the repair of primary rhe... 11868893 - Failure of oral antimicrobial agents in eradicating gastrointestinal colonization with ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Ophthalmic plastic and reconstructive surgery Volume: 27 ISSN: 1537-2677 ISO Abbreviation: Ophthal Plast Reconstr Surg Publication Date: 2011 Jan-Feb |
Date Detail:
|
Created Date: 2011-01-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 4-11 Citation Subset: IM |
Affiliation:
|
Departments of *Ophthalmology and Visual Sciences and †Pathology, University of Michigan Kellogg Eye Center, Ann Arbor, Michigan, U.S.A. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Anatomy of the superior border of the lateral orbital wall: surgical implications in deep lateral or...
Next Document: Eyelid basal cell carcinoma developing in an epidermoid cyst: a previously unreported event.