Orbital Decompression in Graves' Disease

Endoscopic and Transconjunctival Orbital Decompression for Thyroid‐Related Orbital Apex Compression

“…The mean reduction in proptosis after decompression in our patients was similar to that in some studies, 15,20,21 but significantly less than that of other authors who have reported reductions ranging from 4.5 to 5.7 mm. 1,8,10,11,13,14,16,19 The importance of this is that our data corroborate the finding of Michel et al 20 that there was no correlation between recession in the Hertel measurement and improvement in visual acuity. This is especially important in light of the fact that the mean preoperative Hertel measurement in our series was significantly larger than many of the previously published reports.…”

Endoscopic and Transconjunctival Orbital Decompression for Thyroid‐Related Orbital Apex Compression

“…The mean reduction in proptosis after decompression in our patients was similar to that in some studies, 15,20,21 but significantly less than that of other authors who have reported reductions ranging from 4.5 to 5.7 mm. 1,8,10,11,13,14,16,19 The importance of this is that our data corroborate the finding of Michel et al 20 that there was no correlation between recession in the Hertel measurement and improvement in visual acuity. This is especially important in light of the fact that the mean preoperative Hertel measurement in our series was significantly larger than many of the previously published reports.…”

Management of Graves' Ophthalmopathy: Reality and Perspectives

“…Postoperative worsening of diplopia was observed in 5 of 33 patients (15%) evaluated by Hutchinson and Kyle (142) after a two-wall operation using the translid approach. The translid approach is simpler and less morbid than the transantral technique, but it seems to be associated with a lower recession of the proptosis (143).…”

“Balanced” Orbital Decompression for Severe Graves' Orbitopathy: Technique with Treatment Algorithm

“…1 The syndrome may produce eyelid retraction, proptosis, chemosis, diplopia, exposure keratopathy, and optic neuropathy. 2 Although the etiology is presumed to be autoimmune, the pathogenesis is not entirely understood. [3][4][5] Graves' orbitopathy is characterized by a variable increase in the volume of extraocular muscles and orbital connective tissue and fat (Table 1).…”

“…G raves' orbitopathy is the most common extrathyroidal manifestation of Graves' disease 1 . The syndrome may produce eyelid retraction, proptosis, chemosis, diplopia, exposure keratopathy, and optic neuropathy 2 . Although the etiology is presumed to be autoimmune, the pathogenesis is not entirely understood 3–5 .…”

Endoscopic and Transconjunctival Orbital Decompression for Thyroid‐Related Orbital Apex Compression

“…The mean reduction in proptosis after decompression in our patients was similar to that in some studies, 15,20,21 but significantly less than that of other authors who have reported reductions ranging from 4.5 to 5.7 mm. 1,8,10,11,13,14,16,19 The importance of this is that our data corroborate the finding of Michel et al 20 that there was no correlation between recession in the Hertel measurement and improvement in visual acuity. This is especially important in light of the fact that the mean preoperative Hertel measurement in our series was significantly larger than many of the previously published reports.…”

Management of Graves' Ophthalmopathy: Reality and Perspectives

“…Postoperative worsening of diplopia was observed in 5 of 33 patients (15%) evaluated by Hutchinson and Kyle (142) after a two-wall operation using the translid approach. The translid approach is simpler and less morbid than the transantral technique, but it seems to be associated with a lower recession of the proptosis (143).…”

“Balanced” Orbital Decompression for Severe Graves' Orbitopathy: Technique with Treatment Algorithm

“…1 The syndrome may produce eyelid retraction, proptosis, chemosis, diplopia, exposure keratopathy, and optic neuropathy. 2 Although the etiology is presumed to be autoimmune, the pathogenesis is not entirely understood. [3][4][5] Graves' orbitopathy is characterized by a variable increase in the volume of extraocular muscles and orbital connective tissue and fat (Table 1).…”

“…G raves' orbitopathy is the most common extrathyroidal manifestation of Graves' disease 1 . The syndrome may produce eyelid retraction, proptosis, chemosis, diplopia, exposure keratopathy, and optic neuropathy 2 . Although the etiology is presumed to be autoimmune, the pathogenesis is not entirely understood 3–5 .…”

Endoscopic and Transconjunctival Orbital Decompression for Thyroid‐Related Orbital Apex Compression

“…The mean reduction in proptosis after decompression in our patients was similar to that in some studies, 15,20,21 but significantly less than that of other authors who have reported reductions ranging from 4.5 to 5.7 mm. 1,8,10,11,13,14,16,19 The importance of this is that our data corroborate the finding of Michel et al 20 that there was no correlation between recession in the Hertel measurement and improvement in visual acuity. This is especially important in light of the fact that the mean preoperative Hertel measurement in our series was significantly larger than many of the previously published reports.…”

Management of Graves' Ophthalmopathy: Reality and Perspectives

“…Postoperative worsening of diplopia was observed in 5 of 33 patients (15%) evaluated by Hutchinson and Kyle (142) after a two-wall operation using the translid approach. The translid approach is simpler and less morbid than the transantral technique, but it seems to be associated with a lower recession of the proptosis (143).…”

“Balanced” Orbital Decompression for Severe Graves' Orbitopathy: Technique with Treatment Algorithm

“…1 The syndrome may produce eyelid retraction, proptosis, chemosis, diplopia, exposure keratopathy, and optic neuropathy. 2 Although the etiology is presumed to be autoimmune, the pathogenesis is not entirely understood. [3][4][5] Graves' orbitopathy is characterized by a variable increase in the volume of extraocular muscles and orbital connective tissue and fat (Table 1).…”

“…G raves' orbitopathy is the most common extrathyroidal manifestation of Graves' disease 1 . The syndrome may produce eyelid retraction, proptosis, chemosis, diplopia, exposure keratopathy, and optic neuropathy 2 . Although the etiology is presumed to be autoimmune, the pathogenesis is not entirely understood 3–5 .…”