Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression
Purpose: It has been frequently stated that the orbital decompression, in patients with thyroid ophthalmopathy, does not usually improve extraocular muscles function and that after the operation there is often a deterioration of these functions. The purpose of this article is evaluation of extraocul...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=268;epage=273;aulast=Roncevic |
| _version_ | 1818498911837356032 |
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| author | Radmilo Roncevic Zorica Savkovic Dusan Roncevic |
| author_facet | Radmilo Roncevic Zorica Savkovic Dusan Roncevic |
| author_sort | Radmilo Roncevic |
| collection | DOAJ |
| description | Purpose: It has been frequently stated that the orbital decompression, in patients with thyroid ophthalmopathy, does not usually improve extraocular muscles function and that after the operation there is often a deterioration of these functions. The purpose of this article is evaluation of extraocular muscles function after applying personal method of 3 wall orbital decompression. Materials And Methods: Retrospective review of case records of 119 patients with severe thyroid ophthalmopathy seen and treated by the author between December 1986 and December 2010. All patents underwent 3 wall orbital decompression combined with removal of the periorbital, intraorbital and retrobulbar fat. Correction of coexistent eyelid retraction and deformities were also performed. Results: Comparison of preoperative and postoperative results was conducted in 65 patients three months after 3 wall decompression. All patients showed a significant reduction of exophthalmos [5-11 mm, 7.2 mm on average], reduction of intraocular pressure, marked improvement in ocular muscle function as well as considerable reduction in or disappearance of subjective symptoms. There were no cases of subsequent impairment of ocular motility. Strabismus surgery was performed in 6 patients with residual diplopia. There was an improvement in vision in 68% patients who had impaired vision before the operation. Less evident relapse of exophthalmos was recorded in 3 cases only and only one patient required unilateral reoperation. Conclusion: It can be concluded that this method of orbital decompression is logical, based on an understanding of the pathology, has less complication rates, is relatively easy to perform, gives very good functional and aesthetic long term results and allows rapid recovery. |
| first_indexed | 2024-12-10T20:22:01Z |
| format | Article |
| id | doaj.art-469411db32744a008ccedbbc62e1240a |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-10T20:22:01Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-469411db32744a008ccedbbc62e1240a2022-12-22T01:35:00ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162326827310.4103/0301-4738.120206Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompressionRadmilo RoncevicZorica SavkovicDusan RoncevicPurpose: It has been frequently stated that the orbital decompression, in patients with thyroid ophthalmopathy, does not usually improve extraocular muscles function and that after the operation there is often a deterioration of these functions. The purpose of this article is evaluation of extraocular muscles function after applying personal method of 3 wall orbital decompression. Materials And Methods: Retrospective review of case records of 119 patients with severe thyroid ophthalmopathy seen and treated by the author between December 1986 and December 2010. All patents underwent 3 wall orbital decompression combined with removal of the periorbital, intraorbital and retrobulbar fat. Correction of coexistent eyelid retraction and deformities were also performed. Results: Comparison of preoperative and postoperative results was conducted in 65 patients three months after 3 wall decompression. All patients showed a significant reduction of exophthalmos [5-11 mm, 7.2 mm on average], reduction of intraocular pressure, marked improvement in ocular muscle function as well as considerable reduction in or disappearance of subjective symptoms. There were no cases of subsequent impairment of ocular motility. Strabismus surgery was performed in 6 patients with residual diplopia. There was an improvement in vision in 68% patients who had impaired vision before the operation. Less evident relapse of exophthalmos was recorded in 3 cases only and only one patient required unilateral reoperation. Conclusion: It can be concluded that this method of orbital decompression is logical, based on an understanding of the pathology, has less complication rates, is relatively easy to perform, gives very good functional and aesthetic long term results and allows rapid recovery.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=268;epage=273;aulast=Roncevic Clinical profileIndian populationoptic neuritis treatment trialoptic neuritis Decompression of the orbitdiplopiaorbitthyroid exophthalmosthyroid ophthalmopathy |
| spellingShingle | Radmilo Roncevic Zorica Savkovic Dusan Roncevic Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression Indian Journal of Ophthalmology Clinical profile Indian population optic neuritis treatment trial optic neuritis Decompression of the orbit diplopia orbit thyroid exophthalmos thyroid ophthalmopathy |
| title | Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression |
| title_full | Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression |
| title_fullStr | Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression |
| title_full_unstemmed | Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression |
| title_short | Results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression |
| title_sort | results of diplopia and strabismus in patients with severe thyroid ophthalmopathy after orbital decompression |
| topic | Clinical profile Indian population optic neuritis treatment trial optic neuritis Decompression of the orbit diplopia orbit thyroid exophthalmos thyroid ophthalmopathy |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=268;epage=273;aulast=Roncevic |
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