| Orbital decompression for preservation of vision in Graves' ophthalmopathy. | |
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MedLine Citation:
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PMID: 8427689 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Graves' ophthalmopathy (thyroid eye disease) can result in progressive visual loss. The University of Washington (Seattle) experience in orbital decompression was reviewed for the years 1983 through 1990 to determine overall safety and outcome. Twenty patients underwent transantral decompression of 36 orbits for either steroid therapy failure, steroid therapy intolerance, or recurrence of optic neuropathy with tapering of the steroid therapy. Decompression successfully improved visual function in 33 of the orbits (92%) and a second decompression procedure was successful in another two (5%) of the orbits (6%). There were no major complications or cases of decreased visual function. Diplopia, present preoperatively in 17 patients (85%), was improved in eight patients (47%) and unchanged in nine patients (53%). However, of the three patients without preoperative diplopia (15%), one had development of new-onset diplopia postoperatively. Transantral decompression of the orbit offers a safe and effective therapeutic modality for vision-threatening Graves' ophthalmopathy. |
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Authors:
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D A Girod; J C Orcutt; C W Cummings |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of otolaryngology--head & neck surgery Volume: 119 ISSN: 0886-4470 ISO Abbreviation: Arch. Otolaryngol. Head Neck Surg. Publication Date: 1993 Feb |
Date Detail:
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Created Date: 1993-03-05 Completed Date: 1993-03-05 Revised Date: 2006-03-28 |
Medline Journal Info:
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Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 229-33 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology, Head and Neck Surgery, University of Washington, Seattle 98195. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Hormones
/
adverse effects,
therapeutic use Adult Aged Aged, 80 and over Female Graves Disease / classification, complications, surgery* Hospitals, University Humans Intraocular Pressure Least-Squares Analysis Male Middle Aged Orbital Diseases / classification, complications, surgery* Outpatient Clinics, Hospital Postoperative Complications / epidemiology, etiology Retrospective Studies Severity of Illness Index Treatment Outcome Vision Disorders / diagnosis, etiology Visual Acuity Washington / epidemiology |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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