Korean J Otorhinolaryngol-Head Neck Surg.  2019 Feb;62(2):125-130. 10.3342/kjorl-hns.2017.00479.

Three Wall Orbital Decompression for Compressive Optic Neuropathy in Thyroid Ophthalmopathy

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. entkwon@hanmail.net
  • 2Department of Ophthalomology, Inje University Haeundae Paik Hospital, Busan, Korea.

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.

Keyword

Graves opthalmopathy; Orbital decompression; Thyroid eye disease

MeSH Terms

Autoimmune Diseases
Congenital Abnormalities
Conjunctivitis
Decompression*
Diplopia
Endoscopy
Exophthalmos
Optic Nerve
Optic Nerve Diseases*
Orbit*
Thyroid Gland*
Visual Acuity
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