Minimally invasive surgery for thyroid eye disease

Thyroid eye disease (TED) can affect the eye in myriad ways: proptosis, strabismus, eyelid retraction, optic neuropathy, soft tissue changes around the eye and an unstable ocular surface. TED consists of two phases: active, and inactive. The active phase of TED is limited to a period of 12-18 months...

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Main Authors: Milind Neilkant Naik, Akshay Gopinathan Nair, Adit Gupta, Saurabh Kamal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=11;spage=847;epage=853;aulast=Naik
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author Milind Neilkant Naik
Akshay Gopinathan Nair
Adit Gupta
Saurabh Kamal
author_facet Milind Neilkant Naik
Akshay Gopinathan Nair
Adit Gupta
Saurabh Kamal
author_sort Milind Neilkant Naik
collection DOAJ
description Thyroid eye disease (TED) can affect the eye in myriad ways: proptosis, strabismus, eyelid retraction, optic neuropathy, soft tissue changes around the eye and an unstable ocular surface. TED consists of two phases: active, and inactive. The active phase of TED is limited to a period of 12-18 months and is mainly managed medically with immunosuppression. The residual structural changes due to the resultant fibrosis are usually addressed with surgery, the mainstay of which is orbital decompression. These surgeries are performed during the inactive phase. The surgical rehabilitation of TED has evolved over the years: not only the surgical techniques, but also the concepts, and the surgical tools available. The indications for decompression surgery have also expanded in the recent past. This article discusses the technological and conceptual advances of minimally invasive surgery for TED that decrease complications and speed up recovery. Current surgical techniques offer predictable, consistent results with better esthetics.
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spelling doaj.art-f2ab83ba51ff4ecfb9727e737cf473b72022-12-22T03:55:00ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892015-01-01631184785310.4103/0301-4738.171967Minimally invasive surgery for thyroid eye diseaseMilind Neilkant NaikAkshay Gopinathan NairAdit GuptaSaurabh KamalThyroid eye disease (TED) can affect the eye in myriad ways: proptosis, strabismus, eyelid retraction, optic neuropathy, soft tissue changes around the eye and an unstable ocular surface. TED consists of two phases: active, and inactive. The active phase of TED is limited to a period of 12-18 months and is mainly managed medically with immunosuppression. The residual structural changes due to the resultant fibrosis are usually addressed with surgery, the mainstay of which is orbital decompression. These surgeries are performed during the inactive phase. The surgical rehabilitation of TED has evolved over the years: not only the surgical techniques, but also the concepts, and the surgical tools available. The indications for decompression surgery have also expanded in the recent past. This article discusses the technological and conceptual advances of minimally invasive surgery for TED that decrease complications and speed up recovery. Current surgical techniques offer predictable, consistent results with better esthetics.http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=11;spage=847;epage=853;aulast=NaikExophthalmosGrave′s orbitopathyoptic neuropathyorbitorbital decompressionorbital fatproptosisthyroid eye disease
spellingShingle Milind Neilkant Naik
Akshay Gopinathan Nair
Adit Gupta
Saurabh Kamal
Minimally invasive surgery for thyroid eye disease
Indian Journal of Ophthalmology
Exophthalmos
Grave′s orbitopathy
optic neuropathy
orbit
orbital decompression
orbital fat
proptosis
thyroid eye disease
title Minimally invasive surgery for thyroid eye disease
title_full Minimally invasive surgery for thyroid eye disease
title_fullStr Minimally invasive surgery for thyroid eye disease
title_full_unstemmed Minimally invasive surgery for thyroid eye disease
title_short Minimally invasive surgery for thyroid eye disease
title_sort minimally invasive surgery for thyroid eye disease
topic Exophthalmos
Grave′s orbitopathy
optic neuropathy
orbit
orbital decompression
orbital fat
proptosis
thyroid eye disease
url http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=11;spage=847;epage=853;aulast=Naik
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AT saurabhkamal minimallyinvasivesurgeryforthyroideyedisease