Medial Wall Decompression For Optic Neuropathy But Lateral Wall Decompression With Fat Removal For Non Vision-Threatening Indications

McCann, John D.; Goldberg, Robert A.; Anderson, Richard L.; Burroughs, John R.; Simon, Guy J. Ben

doi:10.1016/j.ajo.2006.01.066

Cited by 48 publications

(23 citation statements)

References 16 publications

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“…Several studies demonstrate significant improvement in all parameters of optic nerve function after transcaruncular approach decompression, allowing for rapid steroid taper[42,43,100,101]. This technique allows for a graded approach to removing the ethmoidal air cells and the inferior wall to preserve as much of the maxillo-ethmoidal strut as desired, lowering the risk of new-onset postoperative diplopia[43,89].…”

Section: Transcaruncularmentioning

confidence: 99%

Dysthyroid optic neuropathy: update on pathogenesis, diagnosis, and management

Blandford

Zhang

Chundury

et al. 2017

Expert Review of Ophthalmology

101

102

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Introduction Dysthyroid optic neuropathy (DON) is a severe manifestation of thyroid eye disease (TED) that can result in permanent vision loss. Management is complex, multidisciplinary, and involves medical and/or surgical therapies. This review describes current concepts in the epidemiology, pathophysiology, diagnosis, and treatment of DON. Areas covered An extensive review of the literature was performed to detail current concepts on the diagnosis and management of DON. This includes utilization of various medical and surgical modalities for disease management. Expert commentary DON can result in permanent blindness and often requires the use of corticosteroids and surgical decompression. We favor the use of intravenous corticosteroids and a transcaruncular approach when surgical decompression is indicated. The use of orbital radiation for DON is often reserved for patients that are poor surgical candidates and/or patients with refractory disease.

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Section: Transcaruncularmentioning

confidence: 99%

Dysthyroid optic neuropathy: update on pathogenesis, diagnosis, and management

Blandford

Zhang

Chundury

et al. 2017

Expert Review of Ophthalmology

101

102

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“…Our experience suggests that the combination between lipectomy and orbital wall removal adapted to the clinical modifications and radiological features leads to better results, since it allows a more efficient individual adaptation (2,27,28). Other authors (21) consider that decompression through intervention on orbit walls only is more efficient on the reduction of the degree of exophthalmos, but it has minimal effects on the correction of diplopia.…”

Section: Discussionmentioning

confidence: 78%

Surgery for graves' ophthalmopathy: When and what for? The experience of Iasi

Costan¹

2012

Acta Endo (Buc)

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“…[26][27][28][29][30][31][32][33] In this study cohort, we standardized our operation technique and performed combined balanced medial and lateral wall bony decompression with orbital fat excision in all patients. This study provided us to evaluate the effects of this technique on IOP and SOV-BFV in variable clinical features of GO.…”

Section: Discussionmentioning

confidence: 99%