Motilitätsentwicklung nach modifizierter 3-Wand-Dekompression der Orbita bei endokriner Orbitopathie aus funktioneller und rehabilitativer Indikation

Abstract

The modified 3-wall decompression technique with preservation of a medial periorbital tissue strip is an adequate alternative technique in the therapy of optic neuropathy and exophthalmus reduction in endocrine orbitopathy with a low risk of postoperative motility disorders.

Customized Orbital Decompression Surgery Combined with Eyelid Surgery or Strabismus Surgery in Mild to Moderate Thyroid-associated Ophthalmopathy

“…In most cases, orbital decompression is performed first, and strabismus surgery is considered at the second stage if needed. One of the common complications associated with orbital decompression is development or worsening of diplopia, and primary or downgaze diplopia is the most cumbersome symptom [ 8 9 10 11 ]. The deep lateral wall decompression technique involves removal of thick areas of bone from the posterior lateral wall, specifically from the thickest area of the greater wing of the sphenoid bone (trigone); removal of this trigone posteriorly as far as the inner table of the cortical bone can achieve substantial expansion and reduction of proptosis [ 12 13 ].…”