Document Detail

Correction of exophthalmos and eyelid deformities in patients with severe thyroid ophthalmopathy.
MedLine Citation:
PMID:  18520375     Owner:  NLM     Status:  MEDLINE    
Conservative therapy in cases of severe thyroid ophthalmopathy has not given satisfactory results. Because of this, surgical treatment, that is, orbital decompression, is now being used with increasing frequency. Since the end of 1986 until the end of 2006, 103 patients with severe thyroid ophthalmopathy have been treated by personal 3-wall orbital decompression combined with removal of the periorbital, intraorbital, and retrobulbar fat, as well as with correction of eyelid retraction and deformities. After operation, all patients showed a significant reduction of exophthalmos (5-11 mm; 7.2 mm on average), reduction of intraocular pressure, marked improvement in ocular muscle function, and considerable reduction or disappearance of subjective symptoms. There was an improvement in vision in 68% patients who had impaired vision before the operation. There were no cases of subsequent impairment of ocular motility. Mild relapse of exophthalmos was recorded in 3 cases only, and only 1 patient required unilateral reoperation. Strabismus surgery had to be performed in 6 patients due to unsatisfactory correction of double vision. It can be concluded that this method of orbital decompression gives constantly very good functional and aesthetic long-term results and allows rapid recovery.
Radmilo Roncevic
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  19     ISSN:  1049-2275     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  628-36     Citation Subset:  D    
Clinic for Burns, Plastic and Reconstructive Surgery, Clinical Center of Serbia, Belgrade, Serbia. ronac@eunet.yu
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MeSH Terms
Adipose Tissue / surgery
Decompression, Surgical
Eyelid Diseases / surgery*
Graves Ophthalmopathy / surgery*
Middle Aged
Ophthalmologic Surgical Procedures / methods*
Orbit / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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